July 26, 2024, Current Paid Applications = 206
Are you ready to proudly display your profession on the back of your car? Our MSRC President, Howard Derrick, has worked diligently with a graphic design artist to design a car tag representing respiratory therapists across Mississippi. The tag looks like the picture above except for the word LIFE. The state requires that numbers be placed in this area instead of a word. Remember, the more you share about the MS-RT car tag, the faster we will get to 300!
--- INSTRUCTIONS ---
- Download the car tag application here: MS RT Car Tag Application.pdf
- Fill out the application. (A sample app is pictured below.)
- Scan and upload the signed and completed application using the BLUE BROWSE button below.
- Choose one payment option:
Credit Card On this site (Processing fees apply) | OFFLINE: Paypal @msrc2021 Venmo @MSRC-22 Note Your NAME/MS RT TAG in comments | Submit in person or Mail completed application with Check/MO to address below: |
Upload application to this site. | You must fill out online registration and upload the application to this site. You may also email a completed, scanned application to [email protected]. | Deanna Yates, C/O MSRC, PO Box 55, Blue Mountain, MS 38610
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NOTE: Please ensure that the correct Paypal and Venmo user names for MSRC are entered so that the payment will be received by us. We are not responsible for payments sent to the wrong account. |
Sample Form:
- Once we have received 300 applications with payment, we will submit them to the state.
- Please retain your receipt or payment confirmation.
- We will post updates on www.msrc-web.com, and our MSRC Facebook group.
- If you have any questions or concerns, please email [email protected].