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 26- July 28 R permit $85.00
Session 2 July 31 - Sept 1st R permit $85.00
8 Week Session June 26 - Aug 18 R Permit $150.00
10 Week Session June 26 - Sept 1st R Permit $169.00
Summer Academy 1st year - July 23 to Sept 1st R Permit $107.50
Summer Academy Transfer - July 27 to Sept 1st R Permit $97.50

Select  a  Permit  Type Ses._1Ses._28_week10_weekAcad._1st_YearAcad._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  address  that  you  provided  above  ? yesno