Commuter Parking Application Daily — Village of Sloatsburg

Commuter Parking Application - Daily Permit

Please complete the Application form below for a daily parking permit. All fees must be paid at the time of application. .

Upon completion of payment, please print your payment receipt. Your payment receipt must be displayed on your dashboard while parked in the commuter parking lot. All permit holders subject to official rules and regulations.

Payments can be made by credit card, E-check or check. Note there is a 2.65% or minimum charge or $3.00 per transaction for credit cards or $1.50 for E-check.

If you wish to pay by personal check, please make it payable to “Village of Sloatsburg” and mail or drop off at Village Hall during hours of operation.

The daily parking fee is $10.00 at Village Hall or $15.00 for Premium Parking at Mill St Park.

Applicant Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Email

Date of Use

MM

DD

YYYY

Vehicle, Make

Vehicle, Model

Vehicle, Year

Vehicle, Color

Vehicle, Plate Number