Fillable UNIVERSITY POLICE DEPARTMENT! MOTOR VEHICLE REGISTRATION! 2018-2019! (Wayland Baptist University)

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UNIVERSITY POLICE DEPARTMENT! MOTOR VEHICLE REGISTRATION! 2018-2019! (Wayland Baptist University)

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UNIVERSITY POLICE DEPARTMENT!
MOTOR VEHICLE REGISTRATION!
2018-2019!
Permit#: ______________________!
Circle One: Student Faculty Staff Maintenance Sodexo !
Name: __________________________________________Student ID#___________________!
Dorm Room # or Local Mailing Address: __________________________________________!
Permanent Address (IF Different From Above):______________________________________!
CMB#:________________________________ Phone Number: _______________________!
Driver’s License #_______________________ State: ________________________________!
Vehicle License Plate: __________________ State: ________________________________!
Vehicle Make: _________________________ Model: _______________________________!
Year Model: ___________________________ Color: ________________________________!
Car Owner: ____________________________________________________________________!
Owner Address: (if different from above)___________________________________________!
Please fill out this form online and return it to:!
801 Smythe!
806-291-3490!
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UNIVERSITY POLICE DEPARTMENT MOTOR VEHICLE REGISTRATION 2018-2019 (Wayland Baptist University)

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Completed 30 January 2021

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