Danforth Retiree Parking Permit Request First Name * Last Name * Email * Address (Location you would like your permit mailed to) Address <i>(Location you would like your permit mailed to)</i> Address <i>(Location you would like your permit mailed to)</i> Address <i>(Location you would like your permit mailed to)</i> City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal License Plate Number * State of Registry (2 digits) * Vehicle Make * Vehicle Color * Select preferred permit * Retiree Permit (cost is $0 and includes 240 hours of parking in Yellow permit spaces in East End, DUC, Snow Way, Millbrook, and West Campus Garages)or: Red Yellow F/S – Zone 1 Yellow F/S – Zone 2 Yellow F/S – Zone 3 Yellow F/S – Zone 4 With the exception of the ‘Retiree Permit’, the permits will be sold at 50 percent of the current face value. Review prices in our Permit Parking Page. Would you like to use your Eliot Society benefit towards the purchase of the permit? No Yes The Eliot Society Parking Permit Voucher has a fair market value of up to $500 towards the cost of your parking permit. By selecting this box, you are requesting this benefit. Please note, the IRS requires that the deductible amount of your gift be reduced by the aggregate fair market value of all benefits you choose to accept. You are allowed to take benefits of up to 2% of your total gift or $112.00, whichever is less, without being required by the IRS to reduce your gift deduction. These regulations apply only to U.S. Federal Income Taxes. If a balance is due for your Retiree Permit a customer service representative will reach out to you and assist you with purchasing your permit via credit card over the phone. Once the transaction is complete, the permit will be mailed to your home address via USPS. Please note: Parking and Transportation cannot guarantee availability of the desired permit requested. Phone * A customer service representative will reach out via telephone to collect payment information. Best time of day to be contacted 9am – noon Noon – 5pm 5pm-7pm Date * If you are human, leave this field blank.