City of Vergas
Golf Cart/Mini Truck Permit
Applicant Information
Name
Address
City, State Zip
Phone Number
Email Address
Date of Birth
Driver's License Number
Golf Cart/Mini Truck Information
Make
Model
Year
Serial Number
Insurance Information
Insurance Carrier Name
Insurance Policy Number
Slow Moving Vehicle Sign Installed?
Yes
Rear View Mirror Installed?
Yes
Payment Information
Total Credit Charge
This is the total amount that will be charged to your credit or debit card:
$20.00 Golf Cart/Mini Truck Permit Fee
$2.00 Processing and mailing fee
$0.97 Payment Processing fee (this fee is not collected by City of Vergas)
Credit Card
Please enter your credit or debit card information here. We accept Visa, MasterCard, Discover, and American Express.
Acknowledgement
I hereby certify that the above information is true and correct to the best of my knowledge.
All permits expire on December 31 of the year in which they were issued.
Save
Payment Error
There was a problem processing your card.