Vehicle Registration Information
  1. Vehicle Tag #(*)
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  2. State(*)
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  3. Driver's Name(*)
    Please type your full name.
  4. Campus Address
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  5. Driver's Phone Number
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  6. Vehicle Owner's Name
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  7. Vehicle Owner's Address
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  8. City
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  9. Zip Code
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  10. State
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  11. Year of Vehicle(*)
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  12. Make(*)
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  13. Model(*)
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  14. Color(*)
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  15. Insurance Company's Name
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  16. Insurance Company's Address
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  17. City
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  18. State
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  19. Zip
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  20. Insurance Policy Number
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  21. Expiration Date(*)
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  22. Drivers License Number(*)
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  23. State of Issue(*)
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  24. Expiration Date(*)
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  25. 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.
  26. Please enter the characters in the image(*)
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