Special Events Parking Permit Request
Event Name      

Event Start Date           

Event End Date            

Event Location       

Lot Requested       

Start Time           End Time   

Number of Participants Anticipated  

Number of Vehicles Anticipated       

Event Parking Services

Select the following that apply by entering the quantity needed beside each service:

No services required     (Please complete contact information below)

Conference/Visitor Permit      Permit Quantity    

Bagged Meter      Meter Quantity    

Coned/Blocked Space      Blocked Space Quantity    

Lot Monitor $35.00 per hour (4 Hour Minimum) Monitor Quantity    

(Add in the notes field below the times needed for the monitors)

Contact Information


First Name    

Last Name    

Department/Organization       

Address    

City    

State        

Zip Code    

Telephone Number    

Fax Number    

Email Address    

Additional Event Notes
 

Method of Payment      

If Department Transfer, Account Number     

If off-campus, billing address: