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Apply for Evening/Weekend Parking

Name: I.D. #:


Daytime Phone:

Home Address:

City: State: Zip:

E-mail address:

Type of Permit Length of Time
Evening/Weekend permit (rates)
Annual (not available for sale after 12/31)
Weekend permit (rates) Academic year
  Current Quarter

Vehicle Information

Make and Model Plate Number State

I have read and agree to comply with Northwestern University's parking rules and regulations, and understand that the unauthorized registration of a vehicle or falsification of any of the above information will void the permit(s).

Date: Initials:

*Students Only: I authorize Student Accounts to charge my account
$ Initials:

*Faculty/Staff Only: I authorize Payroll to deduct from my paycheck
$ Initials: