Link to: The University of Western Ontario Link to: Western Parking and Visitor Services




Commercial Permit Application Form



Statement of Agreement
Do you accept the Statement of Agreement as the terms and conditions of this parking permit?

* I Accept
        I DO NOT Accept (you will be redirected back to the parking homepage)


References
Rate Schedule, Permit Information, and Campus Parking Map



Mandatory information is indicated by a *

Your Status is: *

Commercial


Account Information
Please enter the following data to update/setup your parking account.

Your email address *:
Surname/Company Name *:
Firstname/Company Name *:
Initial:


Local Address Information
Local/Campus Address:
City/Building:
Province/State:
Postal Code:
Phone Number:


Home Address Information
Home Address*:
City *:
Province/State:*:
Postal Code *:
Phone Number *:



Vehicle Information

Vehicle 1* Vehicle 2 Vehicle 3
License Plate*: License Plate: License Plate:
Province/State*: Province/State: Province/State:
Vehicle Make: Vehicle Make: Vehicle Make:
Vehicle Model: Vehicle Model: Vehicle Model:
Vehicle Colour: Vehicle Colour: Vehicle Colour:
Vehicle Type: Vehicle Type: Vehicle Type:




Transponder Information

A $30.00 refundable deposit applies to the transponder purchase. Please choose *:

Yes, I need a Transponder

No, I already have a Transponder





Permit Information

Please indicate *:
Number of permits required at $55.65/month each:
Full Parking Year (1 September - August 31)

Other

If OTHER was selected above please indicate start and end dates*.

Start Date of Permit(s):
End Date of Permit(s):



Payment Method


You will be contacted for payment (American Express, Mastercard, Visa) when your application is approved. Thank you!



     

Online Payments are secured by:

Western Parking and Visitor Services is proud to be a member of the:
Ontario Campus Parking Assoc., Canadian Parking Assoc., International Parking Institute

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