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ThunderHawks

Miami University Middletown
Application for Student Parking Permit

Permit Valid August 24, 2009 - August 21, 2010

Your permit will be ready for pickup at the beginning of the semester. If you are submitting this application after the beginning of the semester, it will be ready for pickup at the Cashier Window one week after submission.

All fields in the Student Information and Car #1 must be completed. The Car #2 section is optional.


Student Information

Last Name First   Middle
Banner ID#* DOB
Phone# Email
Address
City State   Zip
*You must enter your Banner Plus Number. Example: +99999999

Car #1

Plate#   State
Make   Model   Color
Owner's Name   Relationship
Owner's Address
City   State   Zip

Car #2

Plate#   State
Make   Model   Color
Owner's Name   Relationship
Owner's Address
City   State   Zip