Temporary Parking Decal Application

Temporary Parking Decal Application
Please complete this form to receive a temporary parking decal.
Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Program*

DoulaResponsible Vendor
Vehicle #1
Make of Vehicle #1:*
Model of Vehicle #1:*
Primary Color of Vehicle #1*
Year of Vehicle #1:*
Plate Number of Vehicle #1:
Vehicle #2
Make of Vehicle #2:
Model of Vehicle #2:
Primary Color of Vehicle #2
Year of Vehicle #2:
Plate Number of Vehicle #2:
Important Note: The first five spaces along the side of the GTC building starting from the pedestrian gate, the GTC student parking lot in the rear of the buidling, and the Cleveland lot (the row nearest the grassy area) are the only permissable parking spaces. If there are no spaces available, please find on street parking along Canal Street, Cleveland Avenue, or S. White Street.

**Place your parking decal on the driver's side dashboard.**
My signature below confirms that:*

I have read the note above and understand where I am permitted to park.I understand that GTC is not responsible for ticketing or towing if I park in an unpermitted space.I have read and understand where to place my parking decal.
Date*

MonthDayYear
Date
Signature*

Clear
Should be Empty: