Exhibit 21 Sample Driver-Check Sticker Application | MAN1425

Decal Number (if known):

Active Locations

Active Locations

Your First & Last Name:*
STATE OF GEORGIA

Email Address:

Vehicle Number: (ARI # xxx-xxxx)

License Plate:

Vehicle Type: (Van, Truck…​)

Vehicle Year:

Vehicle Make:

Vehicle Model:

VIN:

Vehicle Color:

Shipping Address:

Driver’s Name:

Remarks:

Please Note: After saving this vehicle, an E-mail will be sent to your Account Executive who will review this information and add vehicle to your account. Decal will be mailed to you immediately after.

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