Motorcycle/Moped Permit Application

** Indicates required field

Contact Information
First Name:**
Last Name:**
Duke Unique ID:**
Local/Home Address (this should be a valid mailing address):
Campus Address/Box:
Vehicle Information
Vehicle Identification Number (VIN):**
License Information
License Plate #:
License Registration State:
Other Descriptive Features
Please list any other distinctive features that describe your vehicle.:

Do you have a Duke permit for an automobile that you park on campus?**

Yes No

By completing this form, I agree to abide by the regulations that apply to my parking permit along with the Duke University motorcycle parking and operation guidelines.**

I Agree