Vehicle Registration Form

Vehicle Registration Form
Personal Information
Name*

Last NameFirst NameMiddle NameSuffix
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
McKendree ID#*
Phone Number*
Please enter a valid phone number.
Driver's License Number*
State*
Email*
example@example.com
Vehicle Information
Vehicle Make*
Vehicle Model*
Vehicle Identification Number (VIN)*
Vehicle Color*
License Plate Number*
State*
Permit Type*

StudentStaff
Please select to confirm that the vehicle is insured

Yes, my vehicle is insured.
McKendree University

701 College Rd.

Lebanon, IL 62254

(618) 537-4481

2023 McKendree University. All Rights Reserved.
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