Please complete this form to receive access to free daily parking permits and a Duke registration sticker for your bike. How to download your free daily passes. In order to access these permits, you must include your vehicle information in the section below. NOTE: You cannot enroll as a full-time bike commuter and hold an individual parking permit. You will need to return your parking permit to our office before we can give you the free occasional parking passes offered to full-time bike commuters. If you currently hold an individual parking permit, you may register as an Occasional Bicycle Commuter. Cyclist's Description Legal Name * Duke Unique ID * Full Local Address * Campus Address * Local Telephone * Email Address * Department/School * Campus Box If you are unsure of your campus box number, log into the Duke@Work web site, click on "MyProfile", and select "Campus Mailing Address". Do you currently have an individual automobile permit? * Yes No Bicycle Description Brand * Type * Colors * Serial # * Accessories/Unique Features Parking Information Vehicle #1 Make/Model/Color Vehicle #1 License Number and State Vehicle #1 Owner's Full Name Vehicle #2 Make/Model/Color Vehicle #2 License Number and State Vehicle #2 Owner's Full Name Additional Comments Comments Disclaimer * I agree I hereby confirm that the information provided above is true and accurate, and that by receiving these free parking permits I am agreeing to not purchase an annual Duke parking permit or receive day passes from another alternative commuting program. Furthermore, I will not transfer, trade or sell these permits. I agree to abide by Duke's parking and transportation policies. I agree that any unpaid parking fees or fines may be withheld from my paycheck (employee) or billed to my bursar account (grad students). CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit
