COMMERCIAL CONTRACTOR VEHICLE REGISTRATION
As an approved Commercial Contractor at Kelly Plantation, we ask that you take the time to register your vehicles.
The cost of each commercial vehicle windshield decal is $25.00 annually (March - March) and may be paid to the management office by
CASH or CHECK payable to Kelly Plantation Owners' Assoc. 
Please contact Roxanne Eilerman at 850-654-9860 or Roxanne.eilerman@fsresidential.com if you have any questions

PLEASE BRING YOUR or EMAIL VEHICLE REGISTRATION, VALID DRIVERS LICENSE, and PROOF OF INSURANCE


BUSINESS Name:*
BUSINESS Address:*
Phone Number:*
Email:*
Type of Business:*
Name of Insurance Provider and Agent:*
(1) Name of registered owner of vehicle:*
(1) PRIMARY DRIVER Name & License Number:*
(1) Year / Make / Model / Color:*
(1) State & license plate number:*
(1) Vehicle Registration Required:*
(1)KPOA Windshield Decal Number Issued:
(2) Name of registered vehicle owner:
(2) PRIMARY DRIVER Name & Drivers License #:
(2) Auto Insurance Provider:
(2) Year / Make / Model / Color:
(2) State & license plate number:
(2) Vehicle Registration #:
(2)KPOA Windshield Decal Number Issued:
(3) Name of registered vehicle owner:
(3) PRIMARY DRIVER & License Number:
(3) Year / Make / Model / Color:
(3) State & license plate number:
(3) Vehicle Registratioan:
(3) Commercial Windshield Decal Number Issued:
(4) Name of registered vehicle owner:
(4) PRIMARY DRIVER & License Number:
(4) Year / Make / Model / Color:
(4) State & license plate number:
(4) Vehicle Registration:
(4) KPOA Windshield Decal Number Issued:
To prevent automated SPAM, please enter SGJC to submit your form (case sensitive):*
 

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303 Kelly Plantation Dr, Destin, FL 32541

(850) 654-9860 Office

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