Vehicle Registration Information

Vehicle Tag #*
- State*
- Driver's Name*
- Campus Address
- Driver's Phone Number
- Vehicle Owner's Name
- Vehicle Owner's Address
- City
- Zip Code
- State
- Year of Vehicle
- Make
- Model
- Color
- Insurance Company's Name
- Insurance Company's Address
- City
- State
- Zip
- Email Address*
- Insurance Policy Number
- Expiration Date*
- Drivers License Number*
- State of Issue*
- Expiration Date*
I have read and understand the traffic regulations as written and enforced by the Department of Campus Safety and Security, and I agree to abide by them. I also understand that it is a privilege not a right to operate a vehicle on any property belonging to St. Andrews University, a branch of Webber International University, and that violation of these traffic regulations can result in the loss of said privilege. I acknowledge that by submitting this form, I am providing an electronic signature verifying that the information is correct as submitted and an accurate reflection of my consent as indicated above.
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