Application for Parking - Office of the Chancellor · 2017. 7. 28. · Underpass 2013 Name Oct. 19,...

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    Name Oct. 19, 2017

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    UNIVERSITY AVE. UW Foundation UNIVERSITY AVE. Psychology

    EducationalUnionNORTH South Sciences

    PLEASE PRINT CLEARLY.

    Expiration Date

    Visa or MasterCard Number ONLY

    Application for Parking This application is for Lunch with the Chancellor scheduled October 19, 2017. Please return this application with payment to UW Transportation Services by October 13, 2017. Any applications received on or after October 13, 2017 will need to be picked up at the UW Madison Transportation Services office.

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    REGENT ST. CARTOGRAPHY LABORATORY, UW MADISON Copyright 1978© Regents, University of Wisconsin

    $12.00/eachDate:

    Please select your choice of location for permit pick-up after Oct. 13, 2017: 21 N. Park Street

    or 610 Walnut Street, Rm. 124

    Fax application to (608) 265-3424 or send application along with checkpayable to: Transportation Services 610 Walnut Street, Rm. 124 Madison, WI 53726

    http:www.transportation.wisc.edu

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