Fillable Retirees Association Retirees Association Member Parking Permit form (University of Texas at Tyler)

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Retirees Association Retirees Association Member Parking Permit form (University of Texas at Tyler)

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Retirees’ Association Member
Parking Permit form
Please complete this form and take it with you to Campus Police to obtain your parking permit
after you have paid the fee at the Cashier’s office.
Name (print):
Department: UT Tyler Retirees’ Association Member
RETIREE PARKING PERMIT:
*Available to all Retirees’ Association Members (You must show your Retirees’ Association
membership card and receipt of payment at the Policy Department when you turn in your
completed form.)
Full Year (9/1 – 8/31); Fall, Spring, and Summer Semesters $20
*The amount noted above will need to be paid at the Cashier’s office prior to turning the
completed form in to the Policy Department for processing.
Date:
Signature:
Retirees’
Association
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Retirees Association Retirees Association Member Parking Permit form (University of Texas at Tyler)

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Completed 30 August 2020

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