Thank you for your interest in getting a Donate Life special interest license plate. 
We are very excited to get this process completed. As soon as we have 400 applications, we will submit them to DMV for making these specialty plates, which will be mailed out to customers once they produce them.  Click here to download the application form.
You can leave the line above your signature (the line for special interest organization) blank. We will fill in that row. 
The $65 fee must accompany the application. In the event we don't get 400 applications that are needed to produce the plates, your check will be returned to you. The $65 fee is a one-time fee to DMV, then normal registration rules will apply in the future. 
Please send the completed application and check made out to "DMV" to me at the address below: 

 

Sandy Centurelli 
110 Rockwell Ave 
Bristol, CT 06010 


Please let me know if you have any questions. 
Thank you for your interest, 
Sandy Centurelli 
Project lead/ liaison for LifeChoice Donor Services

sandrich1031@hotmail.com 
860-302-8190
Organ Donors Save Lives

Donate Life License Plates

There are several quick, easy and secure ways you can make a monetary contribution to Donate Life Connecticut. 

By Mail
Donate Life Connecticut
P.O. Box 278
Durham, CT 06422

AmazonSmile

AmazonSmile is a simple and automatic way for you to support your Donate Life CT every time you shop, at no cost to you. When you shop at smile.amazon.com, you’ll find the exact same low prices, vast selection and convenient shopping experience as Amazon.com, with the added bonus that Amazon will donate a portion of the purchase price to your Donate Life CT. 

On your first visit to AmazonSmile smile.amazon.com, you need to select a charitable organization to receive donations from eligible purchases before you begin shopping. We will remember your selection, and then every eligible purchase you make at smile.amazon.com will result in a donation.

If you are currently supporting another charity and would like to change to Donate Life CT, just sign in to smile.amazon.com on your desktop or mobile phone browser and simply select “Change your Charity” in “Your Account.”

Workplace Contributions & Matching Gifts
Donate Life Connecticut is a recognized 501(c)3 nonprofit organization. Because of this, many companies match their employees’ contributions. Matching gift programs offer an excellent way for you and your company to work together to save lives. Some companies also match gifts from corporate officers and directors, retired employees, spouses and widows/widowers. Ask your Human Resources department if your company will match your contribution. 

Community Health Charities
We are a member of good standings with the Community Health Charities (CHC) - New England Division.  The CHC allows participants to specify charities to support through their workplace.  You may designate all or part of your contribution to benefit Donate Life Connecticut (Connecticut Coalition for Organ & Tissue Donation),  Tax ID # 06-1346099.

United Way
The United Way allows participants to specify a charity on the donation form. While Donate Life Connecticut is not a United Way member agency, we do receive donor-designated contributions. Designating all or part of your United Way contribution to benefit Donate Life Connecticut (Connecticut Coalition for Organ & Tissue Donation) is easy...simply designate Agency 3512 on your pledge card. Donate Life Connecticut Tax ID # 06-1346099.

Memorials / In Lieu of Flowers
Funds donated in memory of your loved one will be designated to raise awareness about the critical, lifesaving need for organ and tissue donation. All donations will be acknowledged with a personal thank you letter.  We will also provide a list of the people who made donations to the family of the memorial recipient.

Tributes
A donation to Donate Life Connecticut can be the perfect way to commemorate birthdays, anniversaries, births, weddings, showers or any special event.  All donations will be acknowledged with a personal thank you letter.  We will also provide a list of the people who made donations to the person and event being honored.

CT Coalition for Organ & Tissue Donation, dba, Donate Life Connecticut

Mailing Address: P.O. Box 278 Durham, CT  06422

Physical Address (No mail deliveries accepted):  

16 Main St  Durham, CT  06422

P: 203-387-1549 | F: 860-894-2499

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