Rappahannock River Parking Deck Validation Code Request Form


Please complete this form and click the submit button at the button of this page.


 

  • The validation code will be valid until it has passed the expiration date (if applicable) or it has reached its maximum number of uses (if applicable).
  • The Charges are going to be automatically deducted from org code listed via Banner or however if you are going to be doing that.
  • The department is responsible for all charges incured by use of their validation code.
  • The department will be responsible for ensuring the security of the validation code and how it is distributed. The code may be changed upon request if the department suspects it has been compromised by their employees or previous guest.

 

Name:              

Department :    

MSN:                                        Email: 

Phone:                                        Fax:   

Org Code#  


I AM PLACING THIS ORDER WITH THE UNDERSTANDING THAT THERE ARE NO REFUNDS AVAILABLE FOR VALIDATION PURCHASES.

I ATTEST THAT I AM AUTHORIZED TO MAKE THIS TRANSACTION

 

First Name:         Last Name:     G Number:


 



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