Saving lives, one plate at a time.

Did you know that drowning is the leading cause of death for Florida children ages 1-4? You have the power to offer a child life changing swim lessons today.

For only $30 a year added to your vehicle registration you can have a great looking plate and teach a child the life-saving skill of swimming.

Thanks to a generous donor, the first year is free. The plate replacement fee and
the annual $30 plate fee are the responsibility of the individual. Each plate funds a life-saving swim lesson.

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Number of License Plates*

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Vehicle Type*

Personal Vehicle(s)

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Referral

I was referred by an FSPA member

Member Name

Your Name*

Email Address*

Phone Number

Do you work for a pool industry company?*

Yes

Company Name

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Same as Mailing

Mailing address is the same as the vehicle address

Vehicle Address*

Street Address Address Line 2 City State ZIP Code

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Saving lives, one plate at a time.

License Plate for an Individual

License Plate(s) for Company Vehicles

Company Information

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