Vehicle Registration Form

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CACC VEHICLE REGISTRATION FORM
For Department Use Only
Parking Decal # __________________________________
Academic Year: __________________________________
Completed by: ___________________________________
Campus: _______________________________________
Date Issued: ____________________________________
Please Print:
CACC Student ID #
(C-Number):_________________________________________________________
Last Name:_________________________________________________________________________
First Name:_________________________________________________________________________
Make (ex. Toyota):___________________________________________________________________
Color:_____________________________________________________________________________
Model (ex. Camry):___________________________________________________________________
License Tag #:______________________________________________________________________
Please bring (1) this completed form to one of the following campus sites along with:
(2) A printed copy of your detailed current class schedule (which includes your C-#),
(3) Current vehicle tag registration (tag receipt), and
(4) your driver's license.
Alexander City - Library (1st Floor)
Childersburg - Library (Building I)
Talladega - Receptionist (Office A)

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