Information and Permit Type

First Name
Middle Initial
Last Name
Student ID
Mailing Address
City
State
Zip
Email Address
Mobile Phone
Text Number (if different)
	Session 1 June 20- July 22 R permit $102.00 Session 2 July 25 - Aug 26 R permit $108.00 8 Week Session June 20 - Aug 12 R Permit $180.00 10 Week Session June 20 - Aug 26 R Permit $207.00 Independent filed studies June 20 - Aug 26 R Permit $207.00 Summer Edge - July 22 to Aug 27 R Permit $127.00 High School Summer University - June 19 to July 23 R Permit $102.00
Select a Permit Type	Ses._1Ses._28_week10_weekSummer_U
License Plate 1
License Plate 2
Method of Payment	VisaMasterCardStudentBill If no payment method is provided, your permit cost will be charged to your UCSC Student Account.
Please enter your authorizing signature
Would you like this permit to be mailed to the address that you provided above ?	yesno
I would like to receive occasional email updates and reminders from TAPS. I understand that by opting out of emails, I may not receive notifications and reminders regarding parking permits.	Yes