Incorporated Village

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					                                        Village of Quogue
                                                   P O Box 926
                                                  7 Village Lane
                                            Quogue, New York 11959
                                         631-653-4498 * 631-653-4776 Fax
                                          contact@villageofquogue.com

               Please allow at least five (5) business days for processing of your application.

Enclosed please find the 2011 Village of Quogue beach permit application. Please complete it and return it
by mail, hand, facsimile or e-mail to the Quogue Village office. To avoid confusion, please confirm with the
Village Office that an application sent by fax or e-mail has been received.

The Village Office will be open on three Saturdays (May 21 st, May 28 th and June 4th) from 9:00 A.M. until
1:00 P.M. for PICKUP OF BEACH STICKERS. WHILE APPLICATIONS MAY BE SUBMITTED ON
THOSE DAYS, NO APPLICATIONS WILL BE PROCESSED. ALL APPLICATIONS MUST BE
SUBMITTED AT LEAST FIVE (5) BUSINESS DAYS PRIOR TO EACH OF THOSE SATURDAYS IN
ORDER TO BE PICKED UP BY THEN.

Beach stickers also may be picked up weekdays between 9:00 A.M. and 4:00 P.M.

2010 Stickers properly affixed to cars and 2010 passes will be valid through May 31, 2011.

Any form not completed properly will not be processed.

Village Beach Parking Permits will be issued upon completion of this application, proof of registration
(enclose photocopy) of automobile in applicant’s name (except as noted below) and
payment of appropriate fee in the form of cash (if delivered by hand) or check payable to the Village of
Quogue. If you would like to pay by credit card, please call our office at 631-653-4498 to process. Note:
the credit card company’s fee will be charged to your account.

If the registration is in a company name, please include paperwork showing the applicant’s affiliation with
that company.

For rental cars, please include a copy of the rental agreement.

Please indicate if you would like the sticker and ID cards mailed back (include $5.00 additional for certified
mail) or held for pick-up.

Sticker is adhered on the outside of the car window directly behind the driver.

Two (2) I.D. cards are issued with each Village Beach Parking Permit for admittance without a car
(bicyclers or walkers). If you need additional I.D. cards, they can be purchased for $10.00 each. This I.D.
card must be shown to the gatekeeper at each visit to the beach. One card will admit the holder and up to
four other people.

THE VILLAGE OF QUOGUE WILL NOT BE HELD RESPONSIBLE FOR PERMITS LOST IN THE
MAIL. THERE WILL BE NO REPLACEMENT OF LOST, STOLEN OR MISSING PERMITS
WITHOUT PAYMENT OF FULL FEE.

Parking Permits are limited to two (2) permits per household and include two (2) I.D. cards per permit.

The Quogue Village Beach lifeguards will be on duty 9:00 A.M. until 6:00 P.M. weekends only, including
Memorial Day, starting on Saturday, May 28th through Sunday, June 26th , all week beginning on Monday,
June 27th until September 5th and weekends only September 10th & 11th and 17th & 18th.



                                   **DO NOT SEND CASH IN MAIL**

				
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