Summer 24-Hour Parking Application - Summer 2009

Summer 24-Hour Parking Application
Summer 2009

Summer 24-hour parking is offered to Columbia University faculty and staff living in the Morningside campus area from May 1st through August 31st, based upon availability, in the 560 Riverside Drive garage (at W. 125th St.) for $191.77 per month. Payment is by check or payroll deduction.

Personal Information

First Name: *

MI:

Last Name: *

SSN (last 4 digits): *

Contact Number:

E-Mail: *

Street Address: *

Apt:

City: *

State: *

Zip: *

Columbia Information

Title: *

University Department: *

CU ID Card#:

Office Address:

Office Phone:

Vehicle Information

Number of Vehicles: *

I have vehicle(s) I need to register for parking

I have no vehicle

Vehicle 1

Make:

Model:

Year:

Color:

Plate #:

State:

Vehicle 2

Make:

Model:

Year:

Color:

Plate #:

State:

If no vehicle, please select the reason for requesting parking:

The University does not provide insurance for individual car owners and accepts no responsibility for vandalism, theft, or malicious mischief. The car owner agrees to make no claim against the University for any such incident.

Initials: *

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Summer 24-Hour Parking Application - Summer 2009

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