Contact Information

A * indicates required field

*Name:

*Department, Building, Room No.:

*Phone Extension:

*EMail Address:

Information -- Vehicle 1

*License Plate Number:

*State

*Color

*Year / Make / Model:

Information -- Vehicle 2

*License Plate Number:

*State

*Color

*Year / Make / Model:

Acknowledgement

By submitting this online form, and applying for this parking decal, I acknowledge that I will read and will follow the parking regulations summarized in the Bridgewater State College Parking Guide. I also understand that failure to abide by these regulations will likely result in the ticketing/towing of my vehicle. I understand that decals must be properly affixed to outside of the rearmost driver's side window of the registered vehicle. I acknowledge that it is my responsibility to notify the Parking Services and Connect Card Office if my vehicle information changes at any time.

Your decal and parking information will be mailed to your department address, unless an alternate address is noted here: