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Vehicle Registration

Gate Access Form - Non-Resident

The following information is needed for our database. Please complete one form for each vehicle per household.

First Name: *

Last Name: *

Address: *

City: *

State *

Zip Code *

Email Address: *

Cell Number: *

Vehicle Information

License Plate Number *

State: *

Vehicle Year *

Make: *

Model: *

Trailer License Plate Number:

State

Tuxedo Park Affiliations:

Tuxedo Park School Parent

Tuxedo Park School Faculty

Tuxedo Park Club Member

Tuxedo Park Club Employee

Seasonal

Contractor

Other

Employee of Resident: (please complete the following):

Residents Name

Address

Type of work or service you provide

Tuxedo Park’s Climate Smart Community Task Force needs the following information for accurate reporting on Greenhouse gas emissions.

Vehicle is powered by: *

Gas

Diesel

Electric

Hybrid

Leave this field blank

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845-351-4745
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