Pacific Parking Inc.P. O. Box 3098-TCB W. Orange, NJ07052 Tel: 973 669 8777

PARKER REGISTRATION email Fax: 973 669 8747

OFFICE USE ONLY

LOCATION

Netherwood

/ PARKER
NO / CARD
NO / EMPLOYER
NO

(MUST BE TYPED AND PRINTED)

(2) Name
LastFirstMid Initial
(3) Address / Email:
(4) City / State: / Zip Code
(5) Home Phone / (6) Business Phone
(Area Code) Telephone No. / (Area Code) Telephone No.
(7) Employer
NameAddress
Car Information
Make / Model / Year / Color / Plate No.
(8) Car #1
(9) Car #2

PLEASE READ AND SIGN (OR INITIAL)

PARKING LICENSE

  1. Customer shall have the license to park ONE of the cars listed above hereof in accordance with the terms on his parking privilege, at the prevailing rate, payable on or before the first of each month/quarter, in advance, by mail to P. O. Box 3098-TCB West Orange, NJ 07052, or as designated by the terms of his parking agreement. This license shall be subject to the rules and regulations of the Parking Facility as stated from time to time by the Owners, or Management thereof.
  2. The prevailing monthly rate shall be effective only for the month for which it is paid and may be changed at any time for succeeding months upon seven days notice.
  3. Customer shall lock his/her car at all times it is parked in the Facility and remove all valuables. Owners, or Management shall not be liable for any damage to the car, or loss of contents.
  4. This Parking License is only a license to park effective only for the month for which payment has been made and accepted. It shall not be construed to be a lease or a bailment or confer any right to the use of the parking facility beyond the express terms of this license.
  5. A fee of $25.00 will be assessed if a check is returned for any reason.
  6. All payment are due, and must be post marked, by 20th of the month prior to the start of the next monthly or quarterly period.
  7. Parking Rate $75.00 Quarterly. Make check payable to Pacific Parking Inc.

Note: If you are applying for a quarterly permit in the middle of a quarterly payment cycle, make payment for the months remaining in that cycle.

(Example: you are applying quarterly parking permit beginning May and the cycle stated in April your cost will be $50.00 to cover for the month of May and June.)

By______

Customer’s SignatureDate