§ 72.23 REGISTRATION FORM.

Town of Vevay

305 Walnut St.

Vevay, IN 47043

Golf Cart Registration

Permit Number:                                                                                                              

Year Valid:                                                                                                                    

Owner Name:                                                                                                                 

Address:                                                    

Insurance Co.:                                                                                                                 

Year:                                                                                                                              

Make:                                                                                                                             

Color:                                                                                                                             

Serial Number:                                                                                                                 

Owner Signature:                                                                       Date:                               

Employee Signature:                                                                   Date:                              

Registration fee: $25.00      Cash                           Check