Template
 

Home
About Us
Contact Us
Services
Products
FAQs
Sitemap
 


 
 

 

  Template  
 

PURCHASE YOUR EMS SPECIALTY PLATE NOW!

* Please note that if you intend on purchasing more than one plate, you will need to return to this form again after completing it successfully the first time.

Please enter your information requested below. Please complete ONE form for EACH vehicle for which an EMS Specialty plate is ordered. You may combine payment for multiple forms within the same household if printing and mailing in your requests.

Please send payment (no cash) for $35.00 for EACH specialty plate ordered and make payable to TEMSEA. Personalized specialty plates may be ordered by adding an additional $35.00 per personalized specialty plate for a total of $70.00.

License plates on your vehicle: If you have time on your current plate or if you renew your license plate when your EMS plate is ready, you will only pay a pro-rated amount. You will NOT have to pay full price for two tags.  

Mail the completed form and payment made payable to TEMSEA or submit online and use PayPal:

TN EMS Education Association
EMS Specialty Plate Reservation
6025 Stage Road Suite 42-192
Bartlett, TN 38134
 

When directed by the TN Department of Safety, TEMSEA will advise the next step(s) to take.


* Full Name:
(First, MI & Last Name Required)
* Home Street Address:
* City:
* State:
* Zip Code:
* County of registration:
Personalize:
(up to 5 numbers, letters or combination)
Home Phone:
(with area code)
Work Phone:
(with area code & ext.)
* E-mail:

Our Privacy Policy prohibits release in any form, personal information provided to us except where the provider authorizes or required by law. TEMSEA is a 501(c) (6) non-profit professional association committed to educator development, growth, academic achievement, leadership, as well as professional EMS and EMS education in Tennessee.