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2. Instructions
   Please fill out the form below with the person's information on who will be responsible for the vehicle while it is parked in the Municipal parking lot. Filling out this form does not hold a parking permit. You must pay for the permit in full by mail or coming into the office.
4. First Name*
5. Last Name*
7. Address*
   Please list your Orono address.
9. Phone Number*
10. Email Address*
12. License Plate*
13. Make / Model / Color of vehicle*
15. Permit Type*

    Please check which pass you wish to purchase.

    1. Full Year (July 1 - June 30) = $350.00
    2. Half Year (July 1 - December 31) = $200.00
    3. Half year (January 1 - June 30) = $200.00
Leave This Blank:


17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit Submit and Print

* indicates a required field