PAYROLL DEDUCTION





EMPLOYEE INFORMATION
First Name:   Last Name:  
NMSU Email Address:   Aggie ID#:  
Mailing Address:   City,State & Zip:  
Employee Type:  

VEHICLE INFORMATION
License Plate State:
License Plate Number:
Vehicle Make:
Vehicle Model:
Year:
Color:

PERMIT INFORMATION
The standard issue permit is a transferable permit which can be moved between vehicles

Select Permit Type Desired:

Please Note: Due to COVID-19, if you purchased a permit last year, a credit will be applied to this purchase when your permit is processed.


Additional Permits($290.00)


By submitting this form you authorize the permit price to be deducted from your paycheck and also certify the vehicle listed above has a current registration.


You will receive a copy of this form via email address above confirming submittal of this form