Information and Permit Type

First  Name
Middle  Initial
Last  Name
Student  ID
Mailing  Address
City
State
Zip
Email  Address
Mobile  Phone
Text  Number  (if  different)


Session 1 June 20- July 22 R permit $72.00
Session 2 July 25 - Aug 26 R permit $72.00
8 Week Session June 20 - Aug 12 R Permit $126.00
10 Week Session June 20 - Aug 26 R Permit $146.00
July 18th to August 26 R Permit $86
July 22nd to August 26 R Permit $82

Select  a  Permit  Type Session_1Sesaion_28_week10_weekAcademy_1st_YearAcademy_Transfer
License  Plate  1
License  Plate  2
Method  of  Payment VisaMasterCardStudentBill
If no payment method is provided, your permit cost will be charged to your UCSC Student Account/.
Please  enter  your  authorizing  signature
Would  you  like  this  permit  to  be  mailed  to  the  addrees  that  you  provided  above  ? yesno