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2. Customer information
   • Failure to properly display the parking permit will result in the vehicle being ticketed NRO 320-47. Garage and surface lot parking permits shall be displayed in a vehicle by hanging the permit from the rear view mirror of the vehicle. Acceptance of a parking permit releases the City of Nashua or its agents of any responsibility for damages to or loss of any vehicle, its contents or accessories from any cause whatsoever.
   • All permits remain the property of the City of Nashua. Parking Permit(s) must be turned in to the City of Nashua Parking Department immediately upon termination of the Parking Agreement and/or prior to the first day of the next unpaid billing cycle. Failure to do so may result in additional fees incurred.
   • There will be a $10 fee if a permit is lost, stolen, or not returned upon cancellation.
4. Payment Information
   • Customers will receive a courtesy monthly or quarterly invoice from the City of Nashua Treasurer's Office.
   • Individuals are billed monthly and may choose to be billed quarterly. *Business customers are billed quarterly.
   • Fees must be prepaid and are not pro-ratable.
   • Permits are non-transferable, and the permit holder is responsible for ensuring timely renewal of permit(s). Failure to pay in advance of the permit period may result in the revocation of the permit(s) and the permit holder's vehicle may be subsequently ticketed and/or towed if their vehicle remains in the reserved area of the parking garage and/or lot.
   • Payments made by check should be made payable to "City of Nashua, Lease Parking".
6. Customer Responsibility
   • To provide updated and accurate contact information.
   • To provide copy of registration, license plate number, make and model of vehicle(s) for each permit issued.
   • To provide a current mailing address, email address, and telephone number at which you can be reached.
8. Covered/Uncovered Garage and Surface Lots
   • Daily time limit for which all of these reserved parking spaces are leased shall be from 7:00AM to 5:00PM.
   • Vehicles parking in any City of Nashua Municipal Parking Garage or Surface Lot must be registered, inspected and in running order. NRO 320-47 & 320-77. License plates and inspection stickers must be visible.
   • Vehicle Abandonment Prohibited. Any motor vehicle which remains standing in one place for more than 48 hours under circumstances which would lead a reasonable person to conclude that the vehicle has been abandoned. NRO 315-1 & 315-2
   • Uncovered (roof) Garage or Surface Lot customers must adhere to any snow ban put into effect.
   • Vehicles shall be immediately removed from the uncovered or surface lot spaces during such a ban.
   • During snow bans vehicles may park in any available covered, metered or non-metered space, in the City of Nashua Parking Garages (handicap spaces excluded). NRO 320-67
   • The reserved parking space regulations shall not apply between the hours of 5pm and 7am, on Saturdays, Sundays and legal holidays. NRO 320-47
10. I agree to the terms of the City of Nashua Parking Agreement outlined above.*

    1. I Agree to Terms Above
14. Total number of permits requested:
    -- Select One --12345678910111213141516171819202122232425262728293030-plus
18. Account Holder Type

    Select One:

    1. Business Owner/Manager

    1. Business Employee

    1. Downtown Resident
20. Company Name
22. Proof of Business/Employment - Employees and Businesses ONLY

    Upload a Proof of Employment/Business Address

23. Acceptable Proof of Business/Employment

    Lease Agreement

    Utility Bill

    Letter from Employer

    
    

27. First Name*
28. Last Name*
30. Billing Address*
32. City*
33. State*
34. Zip Code*
36. Phone Number*
37. Email Address*
41. Vehicle Information

    Residents and Employees must upload a Copy of their Current Registration

    Business Owners are not required to submit vehicle information

    Additional Vehicles can be added at the bottom of this form

43. Year
44. Make
    -- Select One --AcuraAlfa RomeoAston MartinAudiBentleyBMWBugattiBuickCadillacChevroletChryslerCitroenDodgeFerrariFiatFordGeelyGeneral MotorsGMCHondaHyundaiInfinitiJaguarJeepKiaKoenigseggLand RoverLexusMaseratiMazdaMcLarenMercedes-BenzMiniMitsubishiNissanPaganiPeugeotPorscheRamRenaultRolls RoyceSaabSubaruSuzukiTeslaToyotaVolkswagenVolvoOther
45. Model
46. Color
48. Plate Type
    -- Select One --HANDICAP - INITIALHANDICAP - MOTORCYCLEHEARSEMOOSEMOOSE - VANITYMOPEDMOTORCYCLEHANDICAP MOTO - VANITYMOTORCYCLE - VANITYNATIONAL GUARDNATIONAL GUARD - VANITYPASSENGERAGRICULTURALAMBULANCEANTIQUEANTIQUE - INITIALANTIQUE - MOTORCYCLEAPPORTIONEDAPPORTIONED - INITIALCONSTRUCTION EQUIPMENTCOMMERCIALCOMMERCIAL - INITIALFARMFARM TRACTORFORMER PRISONER OF WARHANDICAPPASSENGER - VANITYPEARL HARBORPEARL HARBOR - VANITYPURPLE HEARTPURPLE HEART - VANITYPURPLE HEART - MOTORCYCLEPURPLE HEART - MOTO - VANITYSCHOOL BUSSPECIAL COMMERCIALSTREET RODSTREET ROD - VANITYTRAILERTRAILER - VANITYANTIQUE TRAILERVETERANVETERAN VANITYVETERAN - DISABLEDVETERAN DISABLED VANITYVETERAN MOTO VANITYVETERAN MOTORCYCLEINITIAL MOOSE STATE PARK PLATEMOOSE STATE PARK PLATEPASSENGER STATE PARK PLATESTATE PARK PLATES
49. Plate Number
50. Vehicle Registration
52. Additional Proof of Residency - Downtown Residents ONLY

    If your Vehicle Registration does not have your Current Address please upload one of the options to the right:

53. Acceptable Proof of Residency

    Vehicle Registration w/ Current Address

    Payroll Document

    Lease or Rental Agreement

    Utility Bill Issued within last 30 days

    Notarized Letter from Landlord - Original must be turned in at time of Permit Receipt

    Mortgage Statement

57. Permit Issued Info:
59. Permit Location and Type ($$$)*
    -- Select One --Elm Street Garage – Covered ($45/Mo.)Elm Street Garage – Rooftop ($30/Mo)High Street Garage – Covered ($45/Mo.)High Street Garage – Rooftop ($30/Mo)Factory Street Lot ($50/Mo)Le Parc Renaissance Lot ($50/Mo)Maple Street Lot ($50/Mo)Pearson Street / Park Street Lot ($50/Mo)Spring Street Lot ($50/Mo)Water Street Lot ($50/Mo)

    Availability is First Come First Serve and Space is NOT Guaranteed

63. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
65. Electronic Signature*
66. Date of Signature*
    Date of Signature
70. Additional Vehicles
72. Year
73. Make
    -- Select One --AcuraAlfa RomeoAston MartinAudiBentleyBMWBugattiBuickCadillacChevroletChryslerCitroenDodgeFerrariFiatFordGeelyGeneral MotorsGMCHondaHyundaiInfinitiJaguarJeepKiaKoenigseggLand RoverLexusMaseratiMazdaMcLarenMercedes-BenzMiniMitsubishiNissanPaganiPeugeotPorscheRamRenaultRolls RoyceSaabSubaruSuzukiTeslaToyotaVolkswagenVolvoOther
74. Model
75. Color
77. Plate Type
    -- Select One --HANDICAP - INITIALHANDICAP - MOTORCYCLEHEARSEMOOSEMOOSE - VANITYMOPEDMOTORCYCLEHANDICAP MOTO - VANITYMOTORCYCLE - VANITYNATIONAL GUARDNATIONAL GUARD - VANITYPASSENGERAGRICULTURALAMBULANCEANTIQUEANTIQUE - INITIALANTIQUE - MOTORCYCLEAPPORTIONEDAPPORTIONED - INITIALCONSTRUCTION EQUIPMENTCOMMERCIALCOMMERCIAL - INITIALFARMFARM TRACTORFORMER PRISONER OF WARHANDICAPPASSENGER - VANITYPEARL HARBORPEARL HARBOR - VANITYPURPLE HEARTPURPLE HEART - VANITYPURPLE HEART - MOTORCYCLEPURPLE HEART - MOTO - VANITYSCHOOL BUSSPECIAL COMMERCIALSTREET RODSTREET ROD - VANITYTRAILERTRAILER - VANITYANTIQUE TRAILERVETERANVETERAN VANITYVETERAN - DISABLEDVETERAN DISABLED VANITYVETERAN MOTO VANITYVETERAN MOTORCYCLEINITIAL MOOSE STATE PARK PLATEMOOSE STATE PARK PLATEPASSENGER STATE PARK PLATESTATE PARK PLATES
78. Plate Number
79. Vehicle Registration
81. Year
82. Make
    -- Select One --AcuraAlfa RomeoAston MartinAudiBentleyBMWBugattiBuickCadillacChevroletChryslerCitroenDodgeFerrariFiatFordGeelyGeneral MotorsGMCHondaHyundaiInfinitiJaguarJeepKiaKoenigseggLand RoverLexusMaseratiMazdaMcLarenMercedes-BenzMiniMitsubishiNissanPaganiPeugeotPorscheRamRenaultRolls RoyceSaabSubaruSuzukiTeslaToyotaVolkswagenVolvoOther
83. Model
84. Color
86. Plate Type
    -- Select One --HANDICAP - INITIALHANDICAP - MOTORCYCLEHEARSEMOOSEMOOSE - VANITYMOPEDMOTORCYCLEHANDICAP MOTO - VANITYMOTORCYCLE - VANITYNATIONAL GUARDNATIONAL GUARD - VANITYPASSENGERAGRICULTURALAMBULANCEANTIQUEANTIQUE - INITIALANTIQUE - MOTORCYCLEAPPORTIONEDAPPORTIONED - INITIALCONSTRUCTION EQUIPMENTCOMMERCIALCOMMERCIAL - INITIALFARMFARM TRACTORFORMER PRISONER OF WARHANDICAPPASSENGER - VANITYPEARL HARBORPEARL HARBOR - VANITYPURPLE HEARTPURPLE HEART - VANITYPURPLE HEART - MOTORCYCLEPURPLE HEART - MOTO - VANITYSCHOOL BUSSPECIAL COMMERCIALSTREET RODSTREET ROD - VANITYTRAILERTRAILER - VANITYANTIQUE TRAILERVETERANVETERAN VANITYVETERAN - DISABLEDVETERAN DISABLED VANITYVETERAN MOTO VANITYVETERAN MOTORCYCLEINITIAL MOOSE STATE PARK PLATEMOOSE STATE PARK PLATEPASSENGER STATE PARK PLATESTATE PARK PLATES
87. Plate Number
88. Vehicle Registration
Leave This Blank:


90. 1. Receive an email copy of this form.
91. Email address

    This field is not part of the form submission.

92. Submit

* indicates a required field