Premium Reserved Parking Permit Lottery Application

2. This is an application for one of the fifteen "Premium Reserved" permit spaces in the nearest south commuter lot, just south of W. Main Street. Costs are as follows: Resident - $225.00 per quarter Non-Resident - $300.00 per quarter Submitting this application does not guarantee a "Premium Reserved" parking spot. Submitters will be placed in a lottery, and fifteen submissions will be chosen at random.

   This is an application for one of the fifteen "Premium Reserved" permit spaces in the nearest south commuter lot, just south of W. Main Street. Costs are as follows: Resident - $225.00 per quarter Non-Resident - $300.00 per quarter Submitting this application does not guarantee a "Premium Reserved" parking spot. Submitters will be placed in a lottery, and fifteen submissions will be chosen at random.

4. 

6. First Name*

7. Last Name*

9. Address1*

11. Address2

13. City*

14. State*

15. Zip*

17. Email Address*

19. Phone Number*

21. Vehicle #1 Year*

22. Vehicle #1 Make*

23. Vehicle #1 Model*

24. Vehicle #1 License Plate*

26. Vehicle #2 Year

27. Vehicle #2 Make

28. Vehicle #2 Model

29. Vehicle #2 License Plate

31. Vehicle # 3 Year

32. Vehicle #3 Make

33. Vehicle #3 Model

34. Vehicle #3 License Plate

Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field