Academic Year 2009-2010 Vehicle Registration Form
Faculty/Staff Permits ("A" Reserved or Retiree (HF))
Please print, sign, and date this form. If paying with payroll deduction, check, or money order send by Campus Mail or mail to:
UNT Parking Services 1700 Wilshire St. Denton, TX 76201-6572
To pay with Cash or Credit Card bring this completed form and payment to the Parking Services Office.
Full Name: UNT ID #:
Make: Model: Color:
License Plate State: License Plate #:
Application for Parking Permit:
A Permit Options: Payment Type: Tax Election:
Annual - $405.00 Retiree - Free Pre-tax
Spr/Sum - $324.00 Post-Tax
Summer - $162.00
To pay for permits by cash or Credit Card, please come to the Parking Office.
Honor/Retired Faculty/Staff (Gold Decal):This Note: By using Payroll Deduction with a tax election of
permit is free to honorably retired faculty and staff. either Pre-Tax or Post-Tax and by signing below I hereby
make known that this is my tax election.
HF permits are not honored in "A" tow-away zones.
This decal will be honored in D, P, and G zones and If you currently do not have a reserved "A" permit, but
visitor areas across campus. would like to obtain one, please contact the Parking Office
as soon as possible, and ask to speak with Scott or Barry.
I agree to assume full financial responsibility for parking violations involving my permit number regardless of whom actually
drives or parks the vehicle on campus. I also understand that failure to display UNT parking permit or registration decal is a
violation of University Regulations. I further agree to abide by the parking and traffic regulations of the University of North
Texas and understand that failure to do so may result in disciplinary action by the university.
Office Use Only:
Affix Permit Barcode Below: