Vehicle Registration Form

Student ID # * Required
Student Name * Required
First Middle Last
Birth Date (MM/DD/YYY) * Required
Email
Will you be living on campus? * Required
- Yes
- No
Local Address * Required
Street Address City State / Province / Region ZIP / Postal Code Country
Permanent Address (if different from local address)
Street Address City State / Province / Region ZIP / Postal Code Country
Vehicle Information
Vehicle Type * Required
Year * Required
Vehicle Make (Chevy, Ford, Honda, etc) * Required
Body Style/Model * Required
Color * Required
Registration Information
Plate State/Province * Required
County (on Plate)
Plate # * Required
Registered Owner * Required

Vehicle Information