EmailMe Form - Vehicle Registration Form

Name *
Prefix First MI Last Suffix
Campus Affiliation: *
Faculty and Staff
On-Campus Student
Off-Campus/Adult Degree Program Student
Job Title *
Department/Division *
Classification: *
Freshman
Sophomore
Junior
Senior
Graduate
Student ID *
Campus Building *
Room Number *
Phone *
### - ### - ####
Email *
Local/Home Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Automobile Information
Make:
Model: *
Number of Doors *
Year *
(Enter 4-Digit Year)
Color *
License Plate Number *
State/Territory: *
Vehicle Identification Number (VIN): *
Registered Owner *
First Last
Driver's License Number *
NOTICE:
Shaw University Campus Police and Security reserves the right to inspect motor vehicles on university property on the basis of reasonable suspicion or probable cause.