Application For Temporary Or Summer Parking Form
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1BOSTON COLLEGE
Office of Student Services
Application for Temporary or Summer Parking
This form must be submitted in person to the Office of Student Services in Lyons Hall.
Name: __________________________________________
Eagle ID Number: __________________________________________
Address: ___________________________________________________________________________________________________
____________________________________________________________________________________________________________
City
State
Zipcode
Local Phone Number: _______________________________________
Email: __________________________________________
Cell Phone Number: ________________________________________
Graduation Date: __________________________________
STATUS (check one):
q Enrolled Student
q Student Summer Employee
Faculty/Staff
Other: __________________________
q
q
Dates Needed: _______________________________ to ________________________________
Detailed Reason for Request: ____________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
CAR INFORMATION:
cccccccc cc cccc
License Plate Number
State
Year
Make of Car
Color of Car
q Acura
q Datsun
q Toyota
q Black
q Hummer
q Lincoln
q Piaggio
q Alpha
q Daihatsu
q Triumph
q Hyundai
q Lotus
q Plymouth
q Blue
q AMC
q Dodge
q Vespa
q Pontiac
q Brown
q Infiniti
q Maserati
q Audi
q Ducati
q Volvo
q Porsche
q Gold
q International
q Mazda
q Bentley
q Eagle
q Volkswagon
q Green
q Isuzu
q Mercedes
q Renault
q BMW
q Ferrari
q Yamaha
q Gray
q Jaguar
q Mercury
q Rolls Royce
q Buick
q Fiat
q Yugo
q Jeep
q MG
q Saab
q Orange
q Buell
q Ford
q Other __________________
q Saturn
q Pink
q Kawasaki
q Mini Cooper
q Cadillac
q Geo
q Scion
q Purple
q Kia
q Mitsubishi
q Chevy
q GMC
q Red
q Land Rover
q Nissan
q Smart
q Chrysler
q Harley
q Silver
q Lancia
q Oldsmobile
q Subaru
q Daewoo
q Honda
q Lexus
q Peugeot
q Suzuki
q Tan
q White
q Yellow
Signature: ___________________________________________________________
Date: ______________________________
OFFICE USE ONLY
DO NOT WRITE BELOW THIS LINE
Permit Type Issued: ____________________________________________
No. of Days _______________________________
Permit Serial Number: __________________________________________
Bill Stud Acct Amount $ _____________________
Proxy Card or E-Z Pass: ________________________________________
Check Amount $ ____________________________
Dates: (from) ______________________ (to) _______________________
Check # ___________________________________
Staff Initials: _______________
Date: ___________________________
NCC Amount $ _____________________________
September 2012
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Parent category: Business