Vehicle Registration

Name*

First Name

Last Name

Owner of Vehicle*

First Name

Last Name

Student ID #*

I am a registered student at

Moorhead GHEC - Greenville

Commuter Men's Residence Hall Women's Residence Hall

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone

Vehicle - Year - Make - Model

Tag #

My signature below signifies that the information above is true and correct. I understand that I am responsible for following all rules and regulations regarding motor vehicle use and parking.

Signature

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Use your mouse or finger to draw your signature above