Extended Parking Form

Extended Parking Form

Hall County Airport Authority | Central Nebraska Regional Airport
Vehicles may be parked for up to 60 days without notifying the Hall County Airport Authority. If you must leave a vehicle for more than 60 days, please notify the Hall County Airport Authority by submitting this Extended Parking Form or by calling (308) 385-5170 during normal business hours.
Name:*

First NameLast Name
City/Town:*
City/Town
State:*
State
Cell Number:*

Area CodePhone Number
Alternate Contact Number:

Area CodePhone Number
E-mail*
Vehicle Year*
Vehicle Year
Vehicle Make*
Vehicle Make ie. Ford
Vehicle Model*
Vehicle Model ie. F150 Crew Cab
Vehicle Color*
Vehicle Color
State & License Platte No.*
ie. NE - BR549
Date Departing from GRI*

MonthDayYear
Date Returning to GRI*

MonthDayYear
Additional Details:

0/200
DateTime
Enter the message as it's shown*
Should be Empty: