Vehicle Access Application
This is the online application for driver's requesting access through the gates at the Bethel Regional Airport
Email address *
First Name *
Your answer
Last Name *
Your answer
Company
If your request for vehicle access is based upon your duties for a particular business/company, please list that company/business name here, otherwise leave blank.
Your answer
Mailing Address *
Your answer
Town *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Please provide a cell or landline number in case we need to reach you immediately.
Your answer
Driver's License Number *
Your answer
Driver's License State *
Your answer
Requested PIN for gate
If you want to select your own 4 or 5 digit PIN to use for the gate, please provide that number below. Your PIN cannot start with a zero. If it is available, we will issue that to you. If not, we will assign you a PIN at random. You may leave this question blank if you want us to randomly assign you a PIN.
Your answer
Terms and Conditions of Issuance *
Applicant must justify why vehicle access is necessary by selecting one of the reasons above or application may be denied. Applicant agrees to abide by all rules and regulations outlined in the Vehicle Access Policy while within the gated area of the airport operations area. Violation of the Vehicle Access Policy may result in loss of vehicle access privileges. Applicant further agrees NOT TO SHARE gate access codes or access cards with unauthorized personnel or privileges may be revoked. Further, applicant certifies that they possess a valid operator’s license and if such license becomes suspended or revoked, that their vehicle access privileges will also be suspended or revoked for the same time period. All applicants must successfully complete the airport’s Driver Training Program prior to gate privileges being granted. All vehicles shall remain clear of the runway at all times unless specifically authorized by airport management, equipped with an operating yellow flashing light, and have radio communication capabilities on 122.9 MHz.
Level of Access *
If you want to just purchase fuel or park in our long-term parking lot next to the apron, select the first choice and you will be done. If you select the other choice, you will be required to take the online driver safety training course and the quiz that follows. If this is the case, you should take that training now before proceeding. See website for details: http://www.bethelregionalairport.com/gate-access
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service