Annual Vehicle Permit
Mail-In Form
NAME DATE
ADDRESS
CITY/STATE/ZIP
LICENSE PLATE # PHONE
$30 Oakland County Resident
$15
Additional Oakland County Resident permit
(add'l permits only available with equal number of permits purchased at $30 rate)
$22
Oakland Co. Resident Senior Citizens Ages 62
+
(birthday required to verify eligibility) _________
Adaptive, Military and Veterans
$11
Additional Senior Citizens Ages 62
+
, Adaptive, Military and Veterans permit
(add'l permits only available with equal number of permits purchased at $22 rate)
$48 Regular Rate
$38
Additional Regular Rate
(add'l permits only available with equal number of permits purchased at $48 rate)
$32
Regular Senior Citizens Ages 62
+
(birthday required to verify eligibility) __________
Adaptive, Military and Veterans
$25
Additional Regular Senior Citizens Ages 62
+
, Adaptive, Military and Veterans permit
(add'l permits only available with equal number of permits purchased at $32 rate)
$59
Parks Perks Pass (Oakland County Parks & Huron-Clinton Metro Parks)
Total
To receive your permit by mail, print and
complete this form and send with money
order or credit card information to:
OAKLAND COUNTY PARKS AND RECREATION
2800 Watkins Lake Road, Waterford, MI 48328
Enclosed is :
Visa, Mastercard and Discover accepted:
02/20
CARD NUMBER
EXPIRATION DATE 3-DIGIT CVN
SIGNATURE
click to sign
signature
click to edit