Parking Tag
If you have any questions, email Chief Pierre at Mpierre@uhcno.edu
Name
*
First Name
Last Name
Student ID number:
*
Driver's License Number:
*
Student Email
*
example@example.com
Personal Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Name of Registered owner
*
Registered Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Year of vehicle
*
Make / Model
*
2 or 4 door
*
Color
*
Plate number
*
Expiration of plate #
*
Copy of Insurance Card
*
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Parking Tag
$20.00
$
20.00
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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Should be Empty: