QC PARKING APPLICATION

QUEENS
COLLEGE
Public Safety Office - Parking Administration
Parking Registration Application
Name

First NameMiddle InitialLast Name
Address
City
State
Zip
Phone:
Email
example@example.com
Vehicle Registration information Registered to:
Name

First NameMiddle InitialLast Name
Address
City
State
Zip
Make
Model
Year
Type
Color
VIN
PAYMENT TYPE:

We accept Cash, Check or Credit Card

Check payable To: Active Pickleball & Tennis Center

Mailing Address: 103 East Street New Hyde Park, NY 11040

Call Office (718) 264-2600 for Credit Card Payment . Please note, there will be a 3% surcharge.
Should be Empty: