JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
SIUC Newman Parking Permit
For instructions and payment information, please visit
https://siucnewman.org/blog/parking-lot-information/
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Permit Type. Please add $1 fee if paying by credit card. No refunds; extra stickers available for multiple vehicles for $5 each.
*
$40.00 Annual Two-Hour Pass (Rec Center users)
$35.00 per semester (SIU student)
$50.00 per semester (Non-student)
$30.00 Summer Permit
$100.00 Annual Permit (August - August)
$15.00 Weekly Permit (temp or guest)
Other:
Last Name
*
Your answer
First Name
*
Your answer
Primary Address (Street, City, State, ZIP)
*
Your answer
Phone Number
*
Your answer
Car Year, Make, and Model (e.g. 2010 Toyota Camry)
*
Your answer
Car License Plate Number and State
*
Your answer
How would you like to pay for your sticker?
*
Online at
donate.siucnewman.org
(please add $1 processing fee)
By US mail (checks only)
In person in the office (9am-3pm M-Th)
How would you like to receive your sticker?
*
By mail, at the address above.
I will pick it up at the Newman Center office (9am-3pm Monday--Thursday)
Please leave the sticker with my parked car; I will call or email to make arrangements for date and time.
I have read and agree to abide by the Newman Parking Rules and Regulations. (Type your name below to digitally sign.)
*
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
Forms
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report