bju.omnigo.one
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52.227.164.88
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Submitted URL: https://publicsafety.bju.edu/
Effective URL: https://bju.omnigo.one/CESIReportExec/opr/OPRMain.aspx?IsAuth=1&groupid=107&groupname=PARKING
Submission: On September 06 via automatic, source certstream-suspicious — Scanned from CA
Effective URL: https://bju.omnigo.one/CESIReportExec/opr/OPRMain.aspx?IsAuth=1&groupid=107&groupname=PARKING
Submission: On September 06 via automatic, source certstream-suspicious — Scanned from CA
Form analysis 1 forms found in the DOM
Name: Form2 — POST ./OPRMain.aspx?IsAuth=1&groupid=107&groupname=PARKING
<form name="Form2" method="post" action="./OPRMain.aspx?IsAuth=1&groupid=107&groupname=PARKING" onsubmit="javascript:return WebForm_OnSubmit();" id="Form2" style="vertical-align: top; margin-top: 0;" autocomplete="off"
onreset="if (window.setTimeout) window.setTimeout('DES_OnReset(false);', 100);">
<div id="DES_Popups" class="DESNOCLASS"></div>
<div id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM" class="DESMenu" style="width:200px;position:absolute;top:0px;left:0px;visibility:hidden;">
<div id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R0" class="DESMenuCommand" style="width:100%" onclick="DES_CmdSelected(30,"Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM");"
onmouseover="if (window.DES_MouseOver){DES_MouseOver('Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R0',' DESMenuMouseOver');}" onmouseout="DES_MouseOut('Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R0');">
<div class="DESMenuLabel" style="display:inline;">Apply</div>
<div class="DESMenuKey" style="display:inline" ;=""> </div>
</div>
<div id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R1" class="DESMenuCommand" style="width:100%" onclick="DES_CmdSelected(31,"Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM");"
onmouseover="if (window.DES_MouseOver){DES_MouseOver('Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R1',' DESMenuMouseOver');}" onmouseout="DES_MouseOut('Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R1');">
<div class="DESMenuLabel" style="display:inline;">Close</div>
<div class="DESMenuKey" style="display:inline" ;=""> </div>
</div>
<div id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R2" class="DESMenuCommand" style="width:100%" onclick="DES_CmdSelected(2,"Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM");"
onmouseover="if (window.DES_MouseOver){DES_MouseOver('Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R2',' DESMenuMouseOver');}" onmouseout="DES_MouseOut('Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R2');">
<div class="DESMenuLabel" style="display:inline;">Today</div>
<div class="DESMenuKey" style="display:inline" ;="">Space</div>
</div>
<div id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R3" class="DESMenuCommand" style="width:100%" onclick="DES_CmdSelected(32,"Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM");"
onmouseover="if (window.DES_MouseOver){DES_MouseOver('Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R3',' DESMenuMouseOver');}" onmouseout="DES_MouseOut('Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R3');">
<div class="DESMenuLabel" style="display:inline;">Clear</div>
<div class="DESMenuKey" style="display:inline" ;=""> </div>
</div>
<div id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R4" class="DESMenuCommand" style="width:100%" onclick="DES_CmdSelected(33,"Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM");"
onmouseover="if (window.DES_MouseOver){DES_MouseOver('Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R4',' DESMenuMouseOver');}" onmouseout="DES_MouseOut('Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R4');">
<div class="DESMenuLabel" style="display:inline;">Show</div>
<div class="DESMenuKey" style="display:inline" ;="">Space</div>
</div>
<div id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R5" class="DESMenuSeparator">
<div class="Line"></div>
</div>
<div id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R6" class="DESMenuCommand" style="width:100%" onclick="DES_CmdSelected(12,"Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM");"
onmouseover="if (window.DES_MouseOver){DES_MouseOver('Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R6',' DESMenuMouseOver');}" onmouseout="DES_MouseOut('Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R6');">
<div class="DESMenuLabel" style="display:inline;">Previous Month</div>
<div class="DESMenuKey" style="display:inline" ;=""> </div>
</div>
<div id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R7" class="DESMenuCommand" style="width:100%" onclick="DES_CmdSelected(13,"Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM");"
onmouseover="if (window.DES_MouseOver){DES_MouseOver('Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R7',' DESMenuMouseOver');}" onmouseout="DES_MouseOut('Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R7');">
<div class="DESMenuLabel" style="display:inline;">Next Month</div>
<div class="DESMenuKey" style="display:inline" ;=""> </div>
</div>
<div id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R8" class="DESMenuCommand" style="width:100%" onclick="DES_CmdSelected(15,"Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM");"
onmouseover="if (window.DES_MouseOver){DES_MouseOver('Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R8',' DESMenuMouseOver');}" onmouseout="DES_MouseOut('Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R8');">
<div class="DESMenuLabel" style="display:inline;">Previous Year</div>
</div>
<div id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R9" class="DESMenuCommand" style="width:100%" onclick="DES_CmdSelected(16,"Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM");"
onmouseover="if (window.DES_MouseOver){DES_MouseOver('Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R9',' DESMenuMouseOver');}" onmouseout="DES_MouseOut('Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM_R9');">
<div class="DESMenuLabel" style="display:inline;">Next Year</div>
</div>
</div>
<div id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN" class="DES_CalControl" style="width:238px;position:absolute;top:0px;left:0px;z-index:30000;visibility:hidden;">
<div class="DES_CalHeader">
<div class="DES_CalHeaderRows" style="min-height:14px;">
<div class="DES_CalHeaderRowsLeft2" style="float:left;"><span id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_PrevMonth_CONT" class="DES_CalMonthButton"
onclick="javascript:DES_CALFireCmd("Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN",12);;return false;" title="Previous Month"><img id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_PrevMonth"
src="/CESIReportExec/DES/Appearance/Date And Time/LeftCmd_3DBlue.GIF" alt="Previous Month"></span></div>
<div class="DES_CalHeaderRowsRight2" style="float:right;"><span id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_NextMonth_CONT" class="DES_CalMonthButton"
onclick="javascript:DES_CALFireCmd("Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN",13);;return false;" title="Next Month"><img id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_NextMonth"
src="/CESIReportExec/DES/Appearance/Date And Time/RightCmd_3DBlue.GIF" alt="Next Month"></span></div>
<div class="DES_CalHeaderRowsCenter2" style="margin-left:auto;margin-right:auto;"><span id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_MYP_TG" class="DES_CalMonthYearContainer" style="display:inline-block;"><span
id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_MYMonth">September</span> <span id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_MYYear">2024</span></span></div>
</div>
</div>
<div id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_WRPH"></div><input type="hidden" id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_SelVal" name="Page_3_Insurance_Policy_Exp_Date$textbox1_PU_PN_SelVal" value=""><input type="hidden"
id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_MonthView" name="Page_3_Insurance_Policy_Exp_Date$textbox1_PU_PN_MonthView" value="2024|9">
</div>
<div>
<input type="hidden" name="__EVENTTARGET" id="__EVENTTARGET" value="">
<input type="hidden" name="__EVENTARGUMENT" id="__EVENTARGUMENT" value="">
<input type="hidden" name="DES_Group" id="DES_Group" value="">
<input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE"
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<input type="button" value="Continue" id="btnContinue" onclick="return OnContinueClick();" class="button minButtonSize">
</div>
<div id="tblError" style="display: none;" class="olrError">
<div class="row">
<div class="span">
<img src="/CESIReportExec/Content/Images/error.png">
</div>
<div class="span">
<span id="txtErrorControls"></span>
</div>
</div>
</div>
</div>
<!-- ==================================== Page1 =================================== -->
<div id="Page_1" style="" class="olrPage">
<div class="center sectionSubHeader">Register For Permit</div>
<table style="width: 100%;" class="dataGrid">
<tbody>
<tr id="Page_1_PermitType_tr">
<td>
<span id="ddPermitType_lbl">Permit Type</span>
</td>
<td>
<select name="ddPermitType" id="ddPermitType" onchange="AmountDueGet();" style="width:150px;" isvisible="1">
<option selected="selected" value="-1"> </option>
<option value="115">ACADEMY </option>
<option value="3874">ACADEMY SECOND VEHICLE </option>
<option value="3877">ARAMARK EMPLOYEE </option>
<option value="3866">CONTRACTOR </option>
<option value="108">DAY STUDENT </option>
<option value="119">DORM STUDENT </option>
<option value="122">DUAL CREDIT </option>
<option value="3878">F/S CHILD </option>
<option value="120">F/S MOTORCYCLE/MOPED </option>
<option value="3879">F/S SECOND VEHICLE </option>
<option value="123">FACULTY BICYCLE </option>
<option value="103">FACULTY/STAFF </option>
<option value="3875">GRAD STUDENT </option>
<option value="107">GRADUATE ASSISTANT </option>
<option value="3868">PRESS </option>
<option value="3870">PRESS BIKE </option>
<option value="3872">PRESS MOTORCYCLE/MOPED </option>
<option value="3880">PRESS SECOND VEHICLE </option>
<option value="121">RETIREE </option>
<option value="110">SECOND VEHICLE(S) </option>
<option value="3876">SERMON AUDIO </option>
<option value="112">STUDENT BICYCLE </option>
<option value="3873">STUDENT MOTORCYCLE/MOPED </option>
</select>
</td>
<td>
</td>
</tr>
<tr id="Page_1_PermitPeriod_tr" style="display: none;">
<td>
<span id="ddpermitPeriod_lbl" style="display: none;">Permit Period</span>
</td>
<td colspan="3">
<select name="ddpermitPeriod" id="ddpermitPeriod" style="width: 150px; display: none;" isvisible="0">
<option selected="selected" value="-1"> </option>
<option value="100">ANNUAL </option>
<option value="103">F/S UNLIMITED </option>
<option value="101">SEMESTER </option>
</select>
</td>
</tr>
<tr id="Page_1_Affiliation_tr">
<td>
<span id="ddpermitRegistrationType_lbl">Affiliation</span>
</td>
<td colspan="3">
<select name="ddpermitRegistrationType" id="ddpermitRegistrationType" style="width:150px;" isvisible="1">
<option selected="selected" value="-1"> </option>
<option value="104">ACADEMY</option>
<option value="120">ARAMARK EMPLOYEE</option>
<option value="107">BJU EDUCATION GROUP</option>
<option value="113">BJU INC.</option>
<option value="114">DAY STUDENT</option>
<option value="111">DORM STUDENT</option>
<option value="106">DUAL CREDIT</option>
<option value="121">F/S CHILD</option>
<option value="118">MASTER'S PROGRAM</option>
<option value="102">RETIREE</option>
<option value="119">SERMON AUDIO</option>
</select>
</td>
</tr>
</tbody>
</table>
</div>
<!-- ======================================== Page2 ======================================== -->
<div style="display: none;" id="Page_2" class="olrPage">
<div class="sectionSubHeader center">Contact Information</div>
<table style="width: 100%;" class="dataGrid">
<tbody>
<tr id="Page_2_ContactType_tr" style="display: none;">
<td>
<span id="Page_2_ddType_lbl">Contact Type:</span>
</td>
<td>
<select name="Page_2_ddType" id="Page_2_ddType" class="TextAndBackGround" onchange="OnContactTypeChange();">
<option value="1">PERSON</option>
<option value="2">BUSINESS</option>
</select>
</td>
</tr>
<tr id="Page_2_Id_tr">
<td>
<span id="Page_2_Id_lbl">BJU ID:</span>
</td>
<td>
<input name="Page_2_Id" type="text" id="Page_2_Id" class="TextAndBackGround" size="40" maxlength="40" style="width: 244px; text-transform: uppercase" onkeypress="TextBoxToUpper(event)" onpaste="TextBoxToUpperText()" isvisible="1">
</td>
</tr>
<tr id="Page_2_FirstName_tr">
<td>
<span id="Page_2_FirstName_lbl">First Name</span>
</td>
<td>
<input name="Page_2_FirstName" type="text" id="Page_2_FirstName" class="TextAndBackGround" size="40" maxlength="50" style="width: 244px; text-transform: uppercase" onkeypress="TextBoxToUpper(event)" onpaste="TextBoxToUpperText()"
isvisible="1">
</td>
</tr>
<tr id="Page_2_MiddleName_tr">
<td>
<span id="Page_2_MiddleName_lbl">Middle Name</span>
</td>
<td>
<input name="Page_2_MiddleName" type="text" id="Page_2_MiddleName" class="TextAndBackGround" size="40" maxlength="50" style="width: 244px; text-transform: uppercase" onkeypress="TextBoxToUpper(event)" onpaste="TextBoxToUpperText()"
isvisible="1">
</td>
</tr>
<tr id="Page_2_LastName_tr">
<td>
<span id="Page_2_LastName_lbl">Last Name</span>
</td>
<td>
<input name="Page_2_LastName" type="text" id="Page_2_LastName" class="TextAndBackGround" size="40" maxlength="50" style="width: 244px; text-transform: uppercase" onkeypress="TextBoxToUpper(event)" onpaste="TextBoxToUpperText()"
isvisible="1">
</td>
</tr>
<tr id="Page_2_BusinessName_tr" style="display: none;">
<td>
<span id="Page_2_BusinessName_lbl" style="display: none;">Business Name:</span>
</td>
<td>
<input name="Page_2_BusinessName" type="text" id="Page_2_BusinessName" class="TextAndBackGround" size="40" maxlength="50" style="width: 244px; text-transform: uppercase; display: none;" onkeypress="TextBoxToUpper(event)"
onpaste="TextBoxToUpperText()" isvisible="0">
</td>
</tr>
<tr id="Page_2_Type_tr">
<td>
<span id="ddType_lbl">Vehicle Driver</span>
</td>
<td>
<select name="ddType" id="ddType" style="width:250px;" isvisible="1">
<option selected="selected" value="-1"> </option>
<option value="7643">IMPORT</option>
<option value="195">VEHICLE DRIVER</option>
<option value="7642">VEHICLE OWNER</option>
</select>
</td>
</tr>
<tr id="Page_2_PermanentAddress_tr">
<td>
<span id="Page_2_HomeAddress_lbl">Street Address/Apt. #</span>
</td>
<td>
<input name="Page_2_HomeAddress" type="text" id="Page_2_HomeAddress" class="TextAndBackGround" size="40" maxlength="512" style="width: 244px; text-transform: uppercase" onkeypress="TextBoxToUpper(event)" onpaste="TextBoxToUpperText()"
isvisible="1">
</td>
</tr>
<tr id="Page_2_Location_tr">
<td>
<span id="Page_2_HomeCity_lbl">City</span>/<span id="Page_2_HomeState_lbl">State</span>/<span id="Page_2_HomeZip_lbl">Zip Code</span>
</td>
<td>
<input name="Page_2_HomeCity" type="text" id="Page_2_HomeCity" class="TextAndBackGround" size="40" maxlength="50" style="width: 244px; text-transform: uppercase" onkeypress="TextBoxToUpper(event)" onpaste="TextBoxToUpperText()"
isvisible="1">, <input name="Page_2_HomeState" type="text" id="Page_2_HomeState" class="TextAndBackGround" size="3" maxlength="3" style="text-transform: uppercase" onkeypress="TextBoxToUpper(event)"
onpaste="TextBoxToUpperText()" isvisible="1">, <input name="Page_2_HomeZip" type="text" id="Page_2_HomeZip" class="TextAndBackGround" size="5" maxlength="20" style="text-transform: uppercase" onkeypress="TextBoxToUpper(event)"
onpaste="TextBoxToUpperText()" isvisible="1">
</td>
</tr>
<tr id="Page_2_LocalAddress_tr" style="display: none;">
<td>
<span id="Page_2_LocalAddress_lbl" style="display: none;">Local Address:</span>
</td>
<td>
<input name="Page_2_LocalAddress" type="text" id="Page_2_LocalAddress" class="TextAndBackGround" size="40" maxlength="512" style="width: 244px; text-transform: uppercase; display: none;" onkeypress="TextBoxToUpper(event)"
onpaste="TextBoxToUpperText()" isvisible="0">( if different from above)
</td>
</tr>
<tr id="Page_2_LocalLocation_tr" style="display: none;">
<td>
<span id="Page_2_LocalCity_lbl" style="display: none;">City</span>/<span id="Page_2_LocalState_lbl" style="display: none;">State</span>/<span id="Page_2_LocalZip_lbl" style="display: none;">Zip Code:</span>
</td>
<td>
<input name="Page_2_LocalCity" type="text" id="Page_2_LocalCity" class="TextAndBackGround" size="40" maxlength="50" style="width: 244px; text-transform: uppercase; display: none;" onkeypress="TextBoxToUpper(event)"
onpaste="TextBoxToUpperText()" isvisible="0">, <input name="Page_2_LocalState" type="text" id="Page_2_LocalState" class="TextAndBackGround" size="3" maxlength="3" style="text-transform: uppercase; display: none;"
onkeypress="TextBoxToUpper(event)" onpaste="TextBoxToUpperText()" isvisible="0">, <input name="Page_2_LocalZip" type="text" id="Page_2_LocalZip" class="TextAndBackGround" size="5" maxlength="20"
style="text-transform: uppercase; display: none;" onkeypress="TextBoxToUpper(event)" onpaste="TextBoxToUpperText()" isvisible="0">
</td>
</tr>
<tr id="Page_2_HomePhone_tr">
<td>
<span id="Page_2_Home_Phone_lbl">Home Phone</span>
</td>
<td>
<input name="Page_2_Home_Phone" type="text" id="Page_2_Home_Phone" class="TextAndBackGround" size="12" maxlength="20" style="width: 244px; text-transform: uppercase" onkeypress="TextBoxToUpper(event)" onpaste="TextBoxToUpperText()"
isvisible="1">
</td>
</tr>
<tr id="Page_2_CellPhone_tr">
<td>
<span id="Page_2_Cell_Phone_lbl">Cell Phone</span>/ <span id="Page_2_Cell_Phone_provider_lbl" style="display: none;">Provider</span>
</td>
<td>
<input name="Page_2_Cell_Phone" type="text" id="Page_2_Cell_Phone" class="TextAndBackGround" size="40" maxlength="128" style="width: 244px; text-transform: uppercase" onkeypress="TextBoxToUpper(event)" onpaste="TextBoxToUpperText()"
isvisible="1"> <select name="Page_2_ddcellphone" id="Page_2_ddcellphone" class="TextAndBackGround" style="width: 130px; display: none;" isvisible="0">
<option selected="selected" value="-1"> </option>
<option value="1">AT&T</option>
<option value="4">CRICKET</option>
<option value="3">T-MOBILE</option>
<option value="2">VERIZON</option>
</select>
</td>
</tr>
<tr id="Page_2_WorkPhone_tr" style="display: none;">
<td>
<span id="Page_2_Work_Phone_lbl" style="display: none;">Work Phone:</span>
</td>
<td>
<input name="Page_2_Work_Phone" type="text" id="Page_2_Work_Phone" class="TextAndBackGround" size="12" maxlength="20" style="width: 244px; text-transform: uppercase; display: none;" onkeypress="TextBoxToUpper(event)"
onpaste="TextBoxToUpperText()" isvisible="0">
</td>
</tr>
<tr id="Page_2_Email_tr">
<td>
<span id="Page_2_Email_lbl">Email</span>
</td>
<td>
<input name="Page_2_Email" type="text" id="Page_2_Email" class="TextAndBackGround" size="40" maxlength="50" style="width: 244px; text-transform: uppercase" onkeypress="TextBoxToUpper(event)" onpaste="TextBoxToUpperText()" isvisible="1">
</td>
</tr>
<tr id="Page_2_Drivers_License_tr">
<td>
<span id="Page_2_Drivers_License_lbl">Drivers License Number:</span>
</td>
<td>
<input name="Page_2_Drivers_License" type="text" id="Page_2_Drivers_License" class="TextAndBackGround" maxlength="50" style="width: 244px; text-transform: uppercase" onkeypress="TextBoxToUpper(event)" onpaste="TextBoxToUpperText()"
isvisible="1">
</td>
</tr>
<tr id="Page_2_Drivers_License_State_tr">
<td>
<span id="Page_2_Drivers_License_State_lbl">Drivers License State</span>
</td>
<td>
<input name="Page_2_Drivers_License_State" type="text" id="Page_2_Drivers_License_State" class="TextAndBackGround" maxlength="5" style="width: 244px; text-transform: uppercase" onkeypress="TextBoxToUpper(event)"
onpaste="TextBoxToUpperText()" isvisible="1">
</td>
</tr>
<tr id="Page_2_Gender_tr" style="display: none;">
<td>
</td>
<td>
</td>
</tr>
<tr id="Page_2_Race_tr" style="display: none;">
<td>
</td>
<td>
</td>
</tr>
<tr id="Page_2_Campus_tr" style="display: none;">
<td>
</td>
<td>
</td>
</tr>
<tr id="Page_2_btnAdd_tr" style="display: none;">
<td> </td>
<td>
<input name="btnAdd" type="button" id="btnAdd" value="Save/Update Contact" onclick="return AddContact();" class="button" isvisible="0" style="display: none;">
</td>
</tr>
</tbody>
</table>
<table id="tblContactGrid" style="width: 100%;" class="dataGrid">
<tbody id="tbody">
<tr class="dataGridHeader">
<th style="width: 14%;">Contact Type</th>
<th style="width: 25%;">Name</th>
<th style="width: 17%;">Home Phone</th>
<th style="width: 17%;">Cell Phone</th>
<th style="width: 17%;">Work Phone</th>
<th colspan="2"></th>
</tr>
</tbody>
</table>
</div>
<!-- ======================================== Page3 ======================================== -->
<div style="display: none;" id="Page_3" class="olrPage">
<div class="center">
<span class="sectionSubHeader">Enter Vehicle Information</span>
<span>Please enter the Vehicle information.</span>
</div>
<table style="width: 100%;" class="dataGrid">
<tbody>
<tr id="Page_3_VehicleType_tr">
<td>
<span id="Page_3_VehicleType_lbl">Body Style</span>
</td>
<td>
<select name="Page_3_VehicleType" id="Page_3_VehicleType" style="width:250px;" isvisible="1">
<option selected="selected" value="-1"> </option>
<option value="107">2 DOOR HATCHBACK</option>
<option value="100">2 DOOR SEDAN</option>
<option value="2461">2-DR SEDAN</option>
<option value="108">4 DOOR HATCHBACK</option>
<option value="102">4 DOOR SEDAN</option>
<option value="2456">4-DR SEDAN</option>
<option value="103">BICYCLE</option>
<option value="118">BUS/COACH</option>
<option value="117">CAMPER/RV</option>
<option value="104">CONVERTIBLE</option>
<option value="2459">CROSSOVER SUV</option>
<option value="105">FULL SIZE VAN</option>
<option value="2462">HATCHBACK - 2 DR</option>
<option value="2458">HATCHBACK - 4 DR</option>
<option value="106">MINIVAN</option>
<option value="109">MOTORCYCLE</option>
<option value="115">OTHER</option>
<option value="110">PICK UP TRUCK</option>
<option value="111">SEMI TRUCK</option>
<option value="113">STATION WAGON</option>
<option value="112">SUV</option>
<option value="2457">TK (PICK-UP)</option>
<option value="116">TRACTOR/LAWN MOWER</option>
<option value="114">TRAILER</option>
<option value="2460">TRUCK (OTHER)</option>
</select>
</td>
</tr>
<tr id="Page_3_VehicleMake_tr">
<td>
<span id="Page_3_VehicleMake_lbl">Vehicle Type</span>
</td>
<td>
<select name="Page_3_VehicleMake" id="Page_3_VehicleMake" style="width:250px;" isvisible="1">
<option selected="selected" value="-1"> </option>
<option value="421">21 SPEED GIANT</option>
<option value="380">ACCRUE</option>
<option value="100">ACURA</option>
<option value="356">AEROLITE</option>
<option value="378">ALAMEDA</option>
<option value="148">ALFA ROMEO</option>
<option value="101">AUDI</option>
<option value="348">AZUKI</option>
<option value="149">BASHAN</option>
<option value="102">BMW</option>
<option value="103">BUICK</option>
<option value="104">CADILLAC</option>
<option value="384">CANADA MOUNTAIN BIKE</option>
<option value="105">CHEVROLET</option>
<option value="106">CHRYSLER</option>
<option value="354">COLUMBIA</option>
<option value="150">DAEWOO</option>
<option value="359">DIAMONDBACK PARKWAY</option>
<option value="107">DODGE</option>
<option value="151">DUCATI</option>
<option value="385">DYNACRAFT BEAR CARE</option>
<option value="152">EAGLE</option>
<option value="412">FELT</option>
<option value="108">FIAT</option>
<option value="109">FORD</option>
<option value="374">FREE SPIRIT</option>
<option value="382">FREE SPIRIT FASTBACK</option>
<option value="349">FUJI POLICE</option>
<option value="392">GARY FISHER</option>
<option value="414">GATEWAY SCHWINN</option>
<option value="352">GAUNTLET</option>
<option value="422">GENESIS</option>
<option value="110">GEO</option>
<option value="342">GIANT</option>
<option value="427">GIANT REVIVE RECUMBE</option>
<option value="112">GMC</option>
<option value="350">GOTRAX ALPHA XL</option>
<option value="429">GT</option>
<option value="379">GT AGGRESSOR PRO</option>
<option value="113">HARLEY DAVIDSON</option>
<option value="114">HONDA</option>
<option value="351">HUFFY</option>
<option value="401">HUFFY BLACKWATER</option>
<option value="371">HUFFY MOUNTAIN BIKE</option>
<option value="355">HUFFY MT. STORM</option>
<option value="405">HUFFY ROCKTRAIL</option>
<option value="396">HUFFY STALKER</option>
<option value="115">HUMMER</option>
<option value="387">HYPERSHOCKER2G</option>
<option value="116">HYUNDAI</option>
<option value="117">INFINITI</option>
<option value="428">INFINITY</option>
<option value="118">ISUZU</option>
<option value="119">JAGUAR</option>
<option value="391">JAMIS</option>
<option value="383">JC PENNEY</option>
<option value="120">JEEP</option>
<option value="121">KAWASAKI</option>
<option value="360">KENT</option>
<option value="388">KENT INT'L THRUSTER</option>
<option value="415">KENT INTERNATIONAL</option>
<option value="122">KIA</option>
<option value="153">KINROAD</option>
<option value="145">LAND ROVER</option>
<option value="413">LEGACY SCHWINN</option>
<option value="123">LEXUS</option>
<option value="124">LINCOLN</option>
<option value="154">LINGYU</option>
<option value="409">MAGNA</option>
<option value="418">MAGNA EXCITOR</option>
<option value="155">MAGSTER</option>
<option value="125">MAZDA</option>
<option value="346">MERCEDES</option>
<option value="126">MERCEDES BENZ</option>
<option value="127">MERCURY</option>
<option value="146">MG</option>
<option value="156">MINI COOPER</option>
<option value="128">MITSUBISHI</option>
<option value="344">MONGOOSE</option>
<option value="157">MOPED</option>
<option value="395">MOTOFOREAWE</option>
<option value="417">MU</option>
<option value="376">MURRAY</option>
<option value="375">N/A</option>
<option value="381">NASHBAR</option>
<option value="410">NELLUSSO</option>
<option value="423">NEXT</option>
<option value="367">NEXT AVALON 32681</option>
<option value="129">NISSAN</option>
<option value="130">OLDSMOBILE</option>
<option value="426">OPEN ROAD AT60</option>
<option value="365">OTHER</option>
<option value="363">OZARK TRAIL</option>
<option value="425">OZONE 500</option>
<option value="416">PEUGEOT</option>
<option value="131">PLYMOUTH</option>
<option value="132">PONTIAC</option>
<option value="133">PORSCHE</option>
<option value="134">RANGE ROVER</option>
<option value="364">RIVERSIDE</option>
<option value="394">ROAD SHARK</option>
<option value="353">ROADMASTER</option>
<option value="393">ROALSTER</option>
<option value="389">ROSSROSS EUROSPORT</option>
<option value="408">ROYCE/UNION</option>
<option value="135">SAAB</option>
<option value="136">SATURN</option>
<option value="343">SCHWINN</option>
<option value="357">SCHWINN JAGUAR</option>
<option value="369">SCHWINN MIDMOOR</option>
<option value="402">SCHWINN MIRANDA</option>
<option value="390">SCHWINN PANTHER</option>
<option value="400">SCHWINN PASSAGE</option>
<option value="368">SCHWINN PROTOCOL</option>
<option value="407">SCHWINN RIDGE AL</option>
<option value="419">SCHWINN STARLET</option>
<option value="406">SCHWINN STRINGRAY</option>
<option value="403">SCHWINN WORLD</option>
<option value="137">SCION</option>
<option value="424">SHOCK FORCE</option>
<option value="373">SIGNATURE XL-SCHWIN</option>
<option value="158">SMART</option>
<option value="358">SOCOOL-NEWSLLY</option>
<option value="398">SPECIALIZED</option>
<option value="386">STALKER</option>
<option value="345">STONE MOUNTAIN HUFFY</option>
<option value="138">SUBARU</option>
<option value="139">SUZUKI</option>
<option value="147">TESLA</option>
<option value="420">TESS DIAMONDBACK</option>
<option value="140">TOYOTA</option>
<option value="347">TREK</option>
<option value="411">TREK 7.1 FX</option>
<option value="362">TREK 700</option>
<option value="377">TREK ANTELOPE</option>
<option value="399">TREK MOUNTAIN BIKE</option>
<option value="366">TREK MOUNTAIN TRACK</option>
<option value="404">TREK MULTITRACK 7300</option>
<option value="370">TREK NAVIGATOR 2.0</option>
<option value="141">TRIUMPH</option>
<option value="372">VERTICAL PK7</option>
<option value="361">VILANO</option>
<option value="397">VITA SPECIALIZED</option>
<option value="142">VOLKSWAGEN</option>
<option value="143">VOLVO</option>
<option value="144">YAMAHA</option>
<option value="159">ZNEN</option>
</select>
</td>
</tr>
<tr id="Page_3_VehicleModel_tr">
<td>
<span id="Page_3_VehicleModel_lbl">Model</span>
</td>
<td>
<input name="Page_3_VehicleModel" type="text" id="Page_3_VehicleModel" class="TextAndBackGround" maxlength="100" style="width: 244px; text-transform: uppercase" onkeypress="TextBoxToUpper(event)" onpaste="TextBoxToUpperText()"
isvisible="1">
</td>
</tr>
<tr id="Page_3_Year_tr">
<td>
<span id="Page_3_Year_lbl">Year (YYYY):</span>
</td>
<td>
<input name="Page_3_Year" type="text" id="Page_3_Year" class="TextAndBackGround" maxlength="4" style="width: 244px; text-transform: uppercase" onkeypress="TextBoxToUpper(event)" onpaste="TextBoxToUpperText()" isvisible="1">
</td>
</tr>
<tr id="Page_3_VehicleColor_tr">
<td>
<span id="Page_3_VehicleColor_lbl">Color</span>
</td>
<td>
<select name="Page_3_VehicleColor" id="Page_3_VehicleColor" style="width:250px;" isvisible="1">
<option selected="selected" value="-1"> </option>
<option value="109">BEIGE</option>
<option value="565">BEIGE/BLACK</option>
<option value="593">BEIGE/BROWN</option>
<option value="595">BEIGE/CHAMPAGNE</option>
<option value="103">BLACK</option>
<option value="558">BLACK/BLACK</option>
<option value="551">BLACK/BLUE</option>
<option value="518">BLACK/GRAY</option>
<option value="547">BLACK/PURPLE</option>
<option value="582">BLACK/RED</option>
<option value="520">BLACK/SILVER</option>
<option value="531">BLACK/TAN</option>
<option value="591">BLACK/UNKNOWN</option>
<option value="562">BLACK/WHITE</option>
<option value="101">BLUE</option>
<option value="527">BLUE/BLACK</option>
<option value="546">BLUE/BLUE</option>
<option value="542">BLUE/GRAY</option>
<option value="569">BLUE/GREEN</option>
<option value="544">BLUE/SILVER</option>
<option value="586">BLUE/UNKNOWN</option>
<option value="563">BLUE/WHITE</option>
<option value="110">BRONZE</option>
<option value="538">BRONZE/BRONZE</option>
<option value="607">BRONZE/BROWN</option>
<option value="107">BROWN</option>
<option value="568">BROWN/BLACK</option>
<option value="111">BURGANDY</option>
<option value="521">BURGUNDY</option>
<option value="561">BURGUNDY/BLACK</option>
<option value="530">BURGUNDY/BURGUNDY</option>
<option value="571">BURGUNDY/GOLD</option>
<option value="597">BURGUNDY/RED</option>
<option value="554">CASHMERE BEIGE</option>
<option value="112">CHAMPAGNE</option>
<option value="567">CHAMPAGNE/BLACK</option>
<option value="598">CHAMPAGNE/SILVER</option>
<option value="535">CHARCOAL/DARK GRAY</option>
<option value="113">CREAM</option>
<option value="606">CREAM/BLACK</option>
<option value="577">CREAM/BROWN</option>
<option value="549">CREAM/CREAM</option>
<option value="108">GOLD</option>
<option value="548">GOLD/BEIGE</option>
<option value="560">GOLD/BROWN</option>
<option value="533">GOLD/GOLD</option>
<option value="581">GOLD/GRAY</option>
<option value="572">GOLD/UNKNOWN</option>
<option value="114">GRAY</option>
<option value="524">GRAY/BLACK</option>
<option value="540">GRAY/BLUE</option>
<option value="532">GRAY/BROWN</option>
<option value="528">GRAY/GRAY</option>
<option value="543">GRAY/SILVER</option>
<option value="555">GRAY/TAN</option>
<option value="609">GRAY/UNKNOWN</option>
<option value="564">GRAY/WHITE</option>
<option value="106">GREEN</option>
<option value="602">GREEN-GRAY</option>
<option value="552">GREEN/BEIGE</option>
<option value="573">GREEN/BLACK</option>
<option value="522">GREEN/BLUE</option>
<option value="580">GREEN/GOLD</option>
<option value="525">GREEN/GRAY</option>
<option value="574">GREEN/GREEN</option>
<option value="589">GREEN/SILVER</option>
<option value="588">GREEN/WHITE</option>
<option value="115">MAROON</option>
<option value="539">MAROON/BLACK</option>
<option value="587">MAROON/GRAY</option>
<option value="600">MIDNIGHT JADE</option>
<option value="105">NAVY</option>
<option value="116">ORANGE</option>
<option value="536">ORANGE/BLACK</option>
<option value="545">OTHER</option>
<option value="590">PEWTER/GRAY</option>
<option value="117">PINK</option>
<option value="118">PURPLE</option>
<option value="596">PWTER</option>
<option value="104">RED</option>
<option value="529">RED/BLACK</option>
<option value="579">RED/BURGUNDY</option>
<option value="605">RED/MAROON</option>
<option value="601">RED/RED</option>
<option value="557">RED/SILVER</option>
<option value="559">RED/UNKNOWN</option>
<option value="556">RED/WHITE</option>
<option value="119">SAND</option>
<option value="102">SILVER</option>
<option value="519">SILVER/BLACK</option>
<option value="608">SILVER/GOLD</option>
<option value="537">SILVER/GRAY</option>
<option value="550">SILVER/SILVER</option>
<option value="566">SILVER/UNKNOWN</option>
<option value="120">TAN</option>
<option value="578">TAN/BLACK</option>
<option value="553">TAN/GRAY</option>
<option value="604">TAN/UNKNOWN</option>
<option value="121">TEAL</option>
<option value="585">TEAL/BLACK</option>
<option value="599">TEAL/BLUE</option>
<option value="523">TEAL/TEAL</option>
<option value="100">WHITE</option>
<option value="534">WHITE/BLACK</option>
<option value="570">WHITE/BRONZE</option>
<option value="603">WHITE/CREAM</option>
<option value="576">WHITE/GRAY</option>
<option value="583">WHITE/GREEN</option>
<option value="584">WHITE/SILVER</option>
<option value="594">WHITE/TAN</option>
<option value="541">WHITE/UNKNOWN</option>
<option value="526">WHITE/WHITE</option>
<option value="122">YELLOW</option>
<option value="575">YELLOW/BLACK</option>
<option value="592">YELLOW/YELLOW</option>
</select>
</td>
</tr>
<tr id="Page_3_VehicleLicensePlateType_tr">
<td>
<span id="Page_3_VehicleLicensePlateType_lbl">License Plate Type</span>
</td>
<td>
<select name="Page_3_VehicleLicensePlateType" id="Page_3_VehicleLicensePlateType" style="width:250px;" isvisible="1">
<option selected="selected" value="-1"> </option>
<option value="100">AUTOMOBILE</option>
<option value="108">BICYCLE</option>
<option value="101">FARM VEHICLE</option>
<option value="107">MINIVAN</option>
<option value="102">MOTORCYCLE</option>
<option value="103">PASSENGER</option>
<option value="104">SEMI-TRUCK</option>
<option value="106">SUV</option>
<option value="105">TRUCK</option>
</select>
</td>
</tr>
<tr id="Page_3_VehicleLicensePlateNumber_tr">
<td>
<span id="Page_3_VehicleLicensePlateNumber_lbl">License Plate Number/ Bicycle S/N#</span>
</td>
<td>
<input name="Page_3_VehicleLicensePlateNumber" type="text" id="Page_3_VehicleLicensePlateNumber" class="TextAndBackGround" size="10" maxlength="20" style="width: 244px; text-transform: uppercase" onkeypress="TextBoxToUpper(event)"
onpaste="TextBoxToUpperText()" isvisible="1"> (do not enter spaces)
</td>
</tr>
<tr id="Page_3_LicenseState_tr">
<td>
<span id="Page_3_LicenseSate_lbl">Licensing State</span>
</td>
<td>
<input name="Page_3_LicenseState" type="text" id="Page_3_LicenseState" class="TextAndBackGround" maxlength="3" style="width: 83px; text-transform: uppercase" onkeypress="TextBoxToUpper(event)" onpaste="TextBoxToUpperText()">
</td>
</tr>
<!-- Olivet Nazarene Custom fields LMK 1/19/2011 -->
<tr id="Page_3_VIN_tr">
<td>
<span id="Page_3_VIN_lbl">VIN</span>
</td>
<td>
<input name="Page_3_VIN" type="text" id="Page_3_VIN" class="TextAndBackGround" maxlength="50" style="width: 244px; text-transform: uppercase" onkeypress="TextBoxToUpper(event)" onpaste="TextBoxToUpperText()" isvisible="1">
</td>
</tr>
<tr id="Page_3_ddOwner_tr">
<td>
<span id="Page_3_Owner_lbl">Vehicle Driver</span>
</td>
<td>
<select name="Page_3_ddOwner" id="Page_3_ddOwner" style="width:250px;" isvisible="1">
</select>
</td>
</tr>
<tr id="Page_3_Insurance_Co_Name_tr">
<td>
<span id="Page_3_Insurance_Co_Name_lbl">Insurance Company</span>
</td>
<td>
<input name="Page_3_Insurance_Co_Name" type="text" id="Page_3_Insurance_Co_Name" class="TextAndBackGround" maxlength="50" style="width: 244px; text-transform: uppercase" onkeypress="TextBoxToUpper(event)" onpaste="TextBoxToUpperText()"
isvisible="1">
</td>
</tr>
<tr id="Page_3_Insurance_Policy_tr">
<td>
<span id="Page_3_Insurance_Policy_lbl">Insurance Policy #</span>
</td>
<td>
<input name="Page_3_Insurance_Policy" type="text" id="Page_3_Insurance_Policy" class="TextAndBackGround" maxlength="50" style="width: 244px; text-transform: uppercase" onkeypress="TextBoxToUpper(event)" onpaste="TextBoxToUpperText()"
isvisible="1">
</td>
</tr>
<tr id="Page_3_Insurance_Policy_Exp_Date_tr">
<td>
<span id="Page_3_Insurance_Policy_Exp_Date_lbl">Policy Exp. Date</span>
</td>
<td>
<span id="Page_3_Insurance_Policy_Exp_Date" style="font-size:12pt;display:inline;display:inline-block;border-width:0px;" isvisible="1"><span id="Page_3_Insurance_Policy_Exp_Date_textbox1_CONT" style="white-space:nowrap;"><input
title="Date format: M/D/Y Shortcut keys: SPACE for Today. . for Next Day. , for Previous Day. C for Use the Calendar. " name="Page_3_Insurance_Policy_Exp_Date$textbox1" type="text" maxlength="10" size="10"
id="Page_3_Insurance_Policy_Exp_Date_textbox1" class="Edit3d" onfocus="DropDownCloseAll();" style="width:73px;">
<div id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU" class="+DES_CalSelected" onclick="DES_BDATPopup("Page_3_Insurance_Policy_Exp_Date_textbox1");" style="display:inline;"><span
id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_TG_CONT"><img id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_TG" style="vertical-align:text-top;" src="/CESIReportExec/DES/Appearance/Date And Time/Calendar.jpg"
alt="..."></span><input type="hidden" id="Page_3_Insurance_Policy_Exp_Date_textbox1_PU_Value" name="Page_3_Insurance_Policy_Exp_Date$textbox1_PU_Value" value=""></div>
</span><span id="Page_3_Insurance_Policy_Exp_Date_ctl01" style="visibility:hidden;display:none;font-size:12px;" class="DESVALErrorText"><br><span id="Page_3_Insurance_Policy_Exp_Date_ctl01_Txt"></span></span><span
id="Page_3_Insurance_Policy_Exp_Date_ctl02" style="visibility:hidden;" class="DESVALErrorText"><img id="Page_3_Insurance_Policy_Exp_Date_ctl02_Img" src="/CESIReportExec/DES/Appearance/Validation/ValErrorIcon.GIF" alt=""
title="Date must be from 1/1/1900 to 6/6/2079"></span></span>
</td>
</tr>
<tr id="Page_3_btnVehicleAdd_tr" style="display: none;">
<td></td>
<td>
<input type="button" value="Add New Vehicle" id="btnVehicleAdd" onclick="return AddVehicle();" class="button" isvisible="0" style="display: none;">
</td>
</tr>
</tbody>
</table>
<table id="tblVehicleGrid" style="width: 100%;" class="dataGrid">
<tbody>
<tr class="dataGridHeader">
<th style="width: 20%;"> Number </th>
<th style="width: 20%;"> Model </th>
<th style="width: 15%;"> Year </th>
<th style="width: 20%;"> Color </th>
<th style="width: 15%;"> Make </th>
<th colspan="2">
</th>
</tr>
</tbody>
</table>
</div>
<!-- ======================================== Page4 ======================================== -->
<div style="display: none;" id="Page_4" class="olrPage">
<div class="center">
<span class="sectionSubHeader">Review Report</span>
<span>Please review the report. If all the information is correct, click the Continue button to submit the report. If you need to modify some information, click the desired modify link. This will be your last chance to change information for
this report.</span>
</div>
<table style="width: 100%;" class="olrTableBgd">
<tbody>
<tr id="Page_4_GeneralInfo_tr" class="sectionHeaderBgd">
<td>
<span id="Page_4_GeneralInformation">General Information:</span>
</td>
<td>
<input type="button" class="button buttonSecondary" value="Modify" name="btnIncidentInfoModify" id="Button1" onclick="return OnModifyClick(1);">
</td>
</tr>
<tr id="Page_4_PermitType_tr">
<td>
<span id="Page_4_PermitType_lbl">Permit Type:</span>
</td>
<td>
<span id="Page_4_PermitType"> </span>
</td>
</tr>
<tr id="Page_4_AmountDue_tr" style="display: none;">
<td>
<span id="Page_4_AmountDue_lbl" isvisible="0" style="display: none;">Amount Due:</span>
</td>
<td>
<span id="Page_4_AmountDue"> </span>
</td>
</tr>
<tr id="Page_4_PermitPeriod_tr" style="display: none;">
<td>
<span id="Page_4_PermitPeriod_lbl" isvisible="0" style="display: none;">Permit Period:</span>
</td>
<td>
<span id="Page_4_PermitPeriod"> </span>
</td>
</tr>
<tr id="Page_4_PermitRegistrationType_tr">
<td>
<span id="Page_4_PermitRegistrationType_lbl">Permit Registration Type:</span>
</td>
<td>
<span id="Page_4_PermitRegistrationType"> </span>
</td>
</tr>
<tr class="sectionHeaderBgd">
<td>
<span id="Page_4_ContactsInformation_lbl">Contacts Information:</span>
</td>
<td>
<input type="button" class="button buttonSecondary" value="Modify" name="btnContactPersonModify" id="Page_2_ModifyContactPersonInformation" onclick="return OnModifyClick(2);">
</td>
</tr>
<tr>
<td colspan="2">
<div id="Page_4_ContactReviewReport">
<table id="tblContactReview" style="width: 100%;" class="dataGrid">
<tbody>
</tbody>
</table>
</div>
</td>
</tr>
<tr class="sectionHeaderBgd">
<td>
<span id="Page_4_VehiclesInformation_lbl">Vehicles Information:</span>
</td>
<td>
<input type="button" class="button buttonSecondary" value="Modify" name="btnVehiclesInfoModify" id="Page_3_ModifyVehiclesInformation" onclick="return OnModifyClick(3);">
</td>
</tr>
<tr>
<td colspan="2">
<div id="Page_4_VehicleReviewReport">
<table id="tblVehicleReview" style="width: 100%;" class="dataGrid">
<tbody>
</tbody>
</table>
</div>
</td>
</tr>
<tr id="Page_4_Notes_tr">
<td>
<span id="lblNotes">Notes/Comments:</span>
</td>
<td>
<textarea name="tbNotes" rows="2" cols="20" id="tbNotes" style="width:95%;"></textarea>
</td>
</tr>
<tr>
<td class="center" colspan="2">
</td>
</tr>
<tr>
<td colspan="2" class="center top">
</td>
</tr>
</tbody>
</table>
</div>
<!-- ======================================== Page5 ======================================== -->
<div style="display: none;" id="Page_5" class="olrPage center">
<div style="font-size: 14pt; font-weight: bold; color: #0000cc">Your Permit Registration Request has been filed. </div>
<div><span id="txtRegistrationShow" style="font-weight: bold;"></span></div>
<div>
<span id="lblGroupMessage">Your Registration is complete.</span>
<br>
</div>
</div>
<div style="display: none;" id="btnDivViewReportBottom" class="olrPageButtonDiv">
<table style="width:100%">
<tbody>
<tr>
<td style="text-align:right">
<input type="button" class="button" value="View Permit Registration " id="viewreportBottom" onclick="return OnViewReportClick();">
<input type="button" class="button" value="Close" id="btnCloseBottom" onclick="window.self.close();">
</td>
<td style="width:230px;text-align:right">
<br>
<br>
</td>
<td style="width:130px;text-align:center">
<div>
<br>
<input type="hidden" name="hdnRegistrationNumber" id="hdnRegistrationNumber">
</div>
</td>
</tr>
</tbody>
</table>
</div>
<!-- ======================================== Back Next Button Div ======================================== -->
<div style="" id="btnDivBackNextBottom" class="olrPageButtonDiv">
<input type="button" value="Back" id="backBottom" causesvalidation="false" onclick="return OnBackClick();" class="button minButtonSize" style="display: none;">
<input type="button" value="Continue" id="continueBottom" onclick="return OnContinueClick();" class="button minButtonSize">
</div>
<div class="olrFooter">
<span id="lblFooter">Copyright © 2024 Omnigo Software. All Rights Reserved.</span>
</div>
<div align="center" id="loadingDiv" style="display: none; filter: alpha(opacity=70); left: 120px; width: 80px; position: absolute; top: 20px; height: 400px; background-color: #e0e0e0; vertical-align: middle; text-align: center; font-size: 12pt;">
<table cellpadding="0" cellspacing="0" border="0" style="vertical-align: middle; height: 100%" align="center">
<tbody>
<tr align="center" style="height: 40%" valign="bottom">
<td>
<span style="font-weight: bold;" id="loadingDivText">Please Wait</span>
</td>
</tr>
<tr align="center" style="height: 60%; padding-top: 5px;" valign="top">
<td>
<img id="Image5" src="../Skins/DefaultTheme/Skins/DayTime/OLR/Images/LoadingProgressBar.gif" alt="Loading" align="middle" style="border-width:1px;border-style:solid;">
</td>
</tr>
</tbody>
</table>
</div>
<input name="hdnPageStateXml" type="hidden" id="hdnPageStateXml"
value="<OnlinePermitRegistration> <GeneralInformation> <PermitType Id=""></PermitType> <AmountDue></AmountDue> <PermitPeriod Id=""></PermitPeriod> <PermitRegistrationType Id=""></PermitRegistrationType> <Notes></Notes> </GeneralInformation><Contacts HasContacts=""></Contacts><Vehicles HasVehicle=""></Vehicles></OnlinePermitRegistration>">
<input name="hdnValidationXml" type="hidden" id="hdnValidationXml"
value="<?xml version="1.0" encoding="utf-8" ?><PageValidations><Page Index="1"><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /></Page><Page Index="2"><ValidationControl /><ValidationControl ValidationControlDisplayName="First Name" ValidationControlType="Textbox" ValidationControlId="Page_2_FirstName" ValidationResultControlId="Page_2_FirstName_tr" VisibleChecked="1" validationChecked="1" ValidationLabelControlId="Page_2_FirstName_lbl" ValidationReviewControlId="" /><ValidationControl /><ValidationControl ValidationControlDisplayName="Last Name" ValidationControlType="Textbox" ValidationControlId="Page_2_LastName" ValidationResultControlId="Page_2_LastName_tr" VisibleChecked="1" validationChecked="1" ValidationLabelControlId="Page_2_LastName_lbl" ValidationReviewControlId="" /><ValidationControl /><ValidationControl /><ValidationControl ValidationControlDisplayName="Street Address/Apt. #" ValidationControlType="Textbox" ValidationControlId="Page_2_HomeAddress" ValidationResultControlId="Page_2_PermanentAddress_tr" VisibleChecked="1" validationChecked="1" ValidationLabelControlId="Page_2_HomeAddress_lbl" ValidationReviewControlId="" /><ValidationControl ValidationControlDisplayName="City" ValidationControlType="Textbox" ValidationControlId="Page_2_HomeCity" ValidationResultControlId="Page_2_Location_tr" VisibleChecked="1" validationChecked="1" ValidationLabelControlId="Page_2_HomeCity_lbl" ValidationReviewControlId="" /><ValidationControl ValidationControlDisplayName="State" ValidationControlType="Textbox" ValidationControlId="Page_2_HomeState" ValidationResultControlId="Page_2_Location_tr" VisibleChecked="1" validationChecked="1" ValidationLabelControlId="Page_2_HomeState_lbl" ValidationReviewControlId="" /><ValidationControl ValidationControlDisplayName="Zip Code" ValidationControlType="Textbox" ValidationControlId="Page_2_HomeZip" ValidationResultControlId="Page_2_Location_tr" VisibleChecked="1" validationChecked="1" ValidationLabelControlId="Page_2_HomeZip_lbl" ValidationReviewControlId="" /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl ValidationControlDisplayName="Email" ValidationControlType="Textbox" ValidationControlId="Page_2_Email" ValidationResultControlId="Page_2_Email_tr" VisibleChecked="1" validationChecked="1" ValidationLabelControlId="Page_2_Email_lbl" ValidationReviewControlId="" /><ValidationControl ValidationControlDisplayName="BJU ID:" ValidationControlType="Textbox" ValidationControlId="Page_2_Id" ValidationResultControlId="Page_2_Id_tr" VisibleChecked="1" validationChecked="1" ValidationLabelControlId="Page_2_Id_lbl" ValidationReviewControlId="Page_4_ContactId_tr" /><ValidationControl /><ValidationControl /><ValidationControl ValidationControlDisplayName="Drivers License Number:" ValidationControlType="Textbox" ValidationControlId="Page_2_Drivers_License" ValidationResultControlId="Page_2_Drivers_License_tr" VisibleChecked="1" validationChecked="1" ValidationLabelControlId="Page_2_Drivers_License_lbl" ValidationReviewControlId="" /><ValidationControl ValidationControlDisplayName="Drivers License State" ValidationControlType="TextBox" ValidationControlId="Page_2_Drivers_License_State" ValidationResultControlId="Page_2_Drivers_License_State_tr" VisibleChecked="1" validationChecked="1" ValidationLabelControlId="Page_2_Drivers_License_State_lbl" ValidationReviewControlId="" /></Page><Page Index="3"><ValidationControl ValidationControlDisplayName="Body Style" ValidationControlType="Listbox" ValidationControlId="Page_3_VehicleType" ValidationResultControlId="Page_3_VehicleType_tr" VisibleChecked="1" validationChecked="1" ValidationLabelControlId="Page_3_VehicleType_lbl" ValidationReviewControlId="" /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl ValidationControlDisplayName="License Plate Number/ Bicycle S/N#" ValidationControlType="Textbox" ValidationControlId="Page_3_VehicleLicensePlateNumber" ValidationResultControlId="Page_3_VehicleLicensePlateNumber_tr" VisibleChecked="1" validationChecked="1" ValidationLabelControlId="Page_3_VehicleLicensePlateNumber_lbl" ValidationReviewControlId="" /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /></Page><Page Index="4"><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /><ValidationControl /></Page></PageValidations>">
<input name="hdCustomTitleXml" type="hidden" id="hdCustomTitleXml"
value="<?xml version="1.0" encoding="utf-8" ?><PageCustomTitles><Page Index="1"><CustomTitle ValidationControlDisplayName="Permit Type" ValidationControlType="Listbox" ValidationControlId="ddPermitType" ValidationResultControlId="Page_1_PermitType_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="ddPermitType_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Permit Period" ValidationControlType="Listbox" ValidationControlId="ddpermitPeriod" ValidationResultControlId="Page_1_PermitPeriod_tr" VisibleChecked="0" validationChecked="0" ValidationLabelControlId="ddpermitPeriod_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Affiliation" ValidationControlType="Listbox" ValidationControlId="ddpermitRegistrationType" ValidationResultControlId="Page_1_Affiliation_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="ddpermitRegistrationType_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Amount Due:" ValidationControlType="Textbox" ValidationControlId="txt_Amountdue" ValidationResultControlId="Page_1_PermitType_tr" VisibleChecked="0" validationChecked="0" ValidationLabelControlId="txt_Amountdue_lbl" ValidationReviewControlId="Page_4_AmountDue_tr" /></Page><Page Index="2"><CustomTitle ValidationControlDisplayName="Contact Type" ValidationControlType="Listbox" ValidationControlId="ddPage_2_ddType" ValidationResultControlId="Page_2_ContactType_tr" VisibleChecked="0" validationChecked="0" ValidationLabelControlId="ddPage_2_ddType_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="First Name" ValidationControlType="Textbox" ValidationControlId="Page_2_FirstName" ValidationResultControlId="Page_2_FirstName_tr" VisibleChecked="1" validationChecked="1" ValidationLabelControlId="Page_2_FirstName_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Middle Name" ValidationControlType="Textbox" ValidationControlId="Page_2_MiddleName" ValidationResultControlId="Page_2_MiddleName_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="Page_2_MiddleName_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Last Name" ValidationControlType="Textbox" ValidationControlId="Page_2_LastName" ValidationResultControlId="Page_2_LastName_tr" VisibleChecked="1" validationChecked="1" ValidationLabelControlId="Page_2_LastName_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Business Name" ValidationControlType="Textbox" ValidationControlId="Page_2_BusinessName" ValidationResultControlId="Page_2_BusinessName_tr" VisibleChecked="0" validationChecked="0" ValidationLabelControlId="Page_2_BusinessName_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Vehicle Driver" ValidationControlType="Listbox" ValidationControlId="ddType" ValidationResultControlId="Page_2_Type_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="ddType_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Street Address/Apt. #" ValidationControlType="Textbox" ValidationControlId="Page_2_HomeAddress" ValidationResultControlId="Page_2_PermanentAddress_tr" VisibleChecked="1" validationChecked="1" ValidationLabelControlId="Page_2_HomeAddress_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="City" ValidationControlType="Textbox" ValidationControlId="Page_2_HomeCity" ValidationResultControlId="Page_2_Location_tr" VisibleChecked="1" validationChecked="1" ValidationLabelControlId="Page_2_HomeCity_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="State" ValidationControlType="Textbox" ValidationControlId="Page_2_HomeState" ValidationResultControlId="Page_2_Location_tr" VisibleChecked="1" validationChecked="1" ValidationLabelControlId="Page_2_HomeState_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Zip Code" ValidationControlType="Textbox" ValidationControlId="Page_2_HomeZip" ValidationResultControlId="Page_2_Location_tr" VisibleChecked="1" validationChecked="1" ValidationLabelControlId="Page_2_HomeZip_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Local Address" ValidationControlType="Textbox" ValidationControlId="Page_2_LocalAddress" ValidationResultControlId="Page_2_LocalAddress_tr" VisibleChecked="0" validationChecked="0" ValidationLabelControlId="Page_2_LocalAddress_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Local City" ValidationControlType="Textbox" ValidationControlId="Page_2_LocalCity" ValidationResultControlId="Page_2_LocalLocation_tr" VisibleChecked="0" validationChecked="0" ValidationLabelControlId="Page_2_LocalCity_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Local State" ValidationControlType="Textbox" ValidationControlId="Page_2_LocalState" ValidationResultControlId="Page_2_LocalLocation_tr" VisibleChecked="0" validationChecked="0" ValidationLabelControlId="Page_2_LocalState_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Local Zip Code" ValidationControlType="Textbox" ValidationControlId="Page_2_LocalZip" ValidationResultControlId="Page_2_LocalLocation_tr" VisibleChecked="0" validationChecked="0" ValidationLabelControlId="Page_2_LocalZip_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Home Phone" ValidationControlType="Textbox" ValidationControlId="Page_2_Home_Phone" ValidationResultControlId="Page_2_HomePhone_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="Page_2_Home_Phone_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Cell Phone" ValidationControlType="Textbox" ValidationControlId="Page_2_Cell_Phone" ValidationResultControlId="Page_2_CellPhone_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="Page_2_Cell_Phone_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Work Phone" ValidationControlType="Textbox" ValidationControlId="Page_2_Work_Phone" ValidationResultControlId="Page_2_WorkPhone_tr" VisibleChecked="0" validationChecked="0" ValidationLabelControlId="Page_2_Work_Phone_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Email" ValidationControlType="Textbox" ValidationControlId="Page_2_Email" ValidationResultControlId="Page_2_Email_tr" VisibleChecked="1" validationChecked="1" ValidationLabelControlId="Page_2_Email_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="BJU ID:" ValidationControlType="Textbox" ValidationControlId="Page_2_Id" ValidationResultControlId="Page_2_Id_tr" VisibleChecked="1" validationChecked="1" ValidationLabelControlId="Page_2_Id_lbl" ValidationReviewControlId="Page_4_ContactId_tr" /><CustomTitle ValidationControlDisplayName="Provider" ValidationControlType="ListBox" ValidationControlId="Page_2_ddcellphone" ValidationResultControlId="Page_2_CellPhone_tr" VisibleChecked="0" validationChecked="0" ValidationLabelControlId="Page_2_Cell_Phone_provider_lbl" ValidationReviewControlId="Page_4_CellPhoneProvider_tr" /><CustomTitle ValidationControlDisplayName="Save/Add Owner Information" ValidationControlType="Button" ValidationControlId="btnAdd" ValidationResultControlId="Page_2_btnAdd_tr" VisibleChecked="0" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="Page_2_btnAdd_tr" /><CustomTitle ValidationControlDisplayName="Drivers License Number:" ValidationControlType="Textbox" ValidationControlId="Page_2_Drivers_License" ValidationResultControlId="Page_2_Drivers_License_tr" VisibleChecked="1" validationChecked="1" ValidationLabelControlId="Page_2_Drivers_License_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Drivers License State" ValidationControlType="TextBox" ValidationControlId="Page_2_Drivers_License_State" ValidationResultControlId="Page_2_Drivers_License_State_tr" VisibleChecked="1" validationChecked="1" ValidationLabelControlId="Page_2_Drivers_License_State_lbl" ValidationReviewControlId="" /></Page><Page Index="3"><CustomTitle ValidationControlDisplayName="Body Style" ValidationControlType="Listbox" ValidationControlId="Page_3_VehicleType" ValidationResultControlId="Page_3_VehicleType_tr" VisibleChecked="1" validationChecked="1" ValidationLabelControlId="Page_3_VehicleType_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Vehicle Type" ValidationControlType="Listbox" ValidationControlId="Page_3_VehicleMake" ValidationResultControlId="Page_3_VehicleMake_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="Page_3_VehicleMake_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Model" ValidationControlType="Textbox" ValidationControlId="Page_3_VehicleModel" ValidationResultControlId="Page_3_VehicleModel_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="Page_3_VehicleModel_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Year (YYYY):" ValidationControlType="Textbox" ValidationControlId="Page_3_Year" ValidationResultControlId="Page_3_Year_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="Page_3_Year_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Color" ValidationControlType="Listbox" ValidationControlId="Page_3_VehicleColor" ValidationResultControlId="Page_3_VehicleColor_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="Page_3_VehicleColor_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="License Plate Type" ValidationControlType="Listbox" ValidationControlId="Page_3_VehicleLicensePlateType" ValidationResultControlId="Page_3_VehicleLicensePlateType_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="Page_3_VehicleLicensePlateType_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="License Plate Number/ Bicycle S/N#" ValidationControlType="Textbox" ValidationControlId="Page_3_VehicleLicensePlateNumber" ValidationResultControlId="Page_3_VehicleLicensePlateNumber_tr" VisibleChecked="1" validationChecked="1" ValidationLabelControlId="Page_3_VehicleLicensePlateNumber_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Licensing State" ValidationControlType="Textbox" ValidationControlId="Page_3_LicenseSate" ValidationResultControlId="Page_3_LicenseState_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="Page_3_LicenseSate_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Vehicle Driver" ValidationControlType="Listbox" ValidationControlId="Page_3_ddOwner" ValidationResultControlId="Page_3_ddOwner_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="Page_3_Owner_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Add New Vehicle" ValidationControlType="Button" ValidationControlId="btnVehicleAdd" ValidationResultControlId="Page_3_btnVehicleAdd_tr" VisibleChecked="0" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="Page_3_btnVehicleAdd_tr" /><CustomTitle ValidationControlDisplayName="VIN" ValidationControlType="Textbox" ValidationControlId="Page_3_VIN" ValidationResultControlId="Page_3_VIN_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="Page_3_VIN_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Insurance Company" ValidationControlType="Textbox" ValidationControlId="Page_3_Insurance_Co_Name" ValidationResultControlId="Page_3_Insurance_Co_Name_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="Page_3_Insurance_Co_Name_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Insurance Policy #" ValidationControlType="Textbox" ValidationControlId="Page_3_Insurance_Policy" ValidationResultControlId="Page_3_Insurance_Policy_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="Page_3_Insurance_Policy_lbl" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Policy Exp. Date" ValidationControlType="Textbox" ValidationControlId="Page_3_Insurance_Policy_Exp_Date" ValidationResultControlId="Page_3_Insurance_Policy_Exp_Date_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="Page_3_Insurance_Policy_Exp_Date_lbl" ValidationReviewControlId="" /></Page><Page Index="4"><CustomTitle ValidationControlDisplayName="Permit Type:" ValidationControlType="Label" ValidationControlId="Page_4_PermitType_lbl" ValidationResultControlId="Page_4_PermitType_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Amount Due:" ValidationControlType="Label" ValidationControlId="Page_4_AmountDue_lbl" ValidationResultControlId="Page_4_AmountDue_tr" VisibleChecked="0" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Permit Period:" ValidationControlType="Label" ValidationControlId="Page_4_PermitPeriod_lbl" ValidationResultControlId="Page_4_PermitPeriod_tr" VisibleChecked="0" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Permit Registration Type:" ValidationControlType="Label" ValidationControlId="Page_4_PermitRegistrationType_lbl" ValidationResultControlId="Page_4_PermitRegistrationType_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Body Style:" ValidationControlType="Label" ValidationControlId="Page_4_Type_lbl" ValidationResultControlId="Page_4_Type_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Vehicle Type:" ValidationControlType="Label" ValidationControlId="Page_4_Make_lbl" ValidationResultControlId="Page_4_Make_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Model:" ValidationControlType="Label" ValidationControlId="Page_4_Model_lbl" ValidationResultControlId="Page_4_Model_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Year:" ValidationControlType="Label" ValidationControlId="Page_4_Year_lbl" ValidationResultControlId="Page_4_Year_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Color:" ValidationControlType="Label" ValidationControlId="Page_4_Color_lbl" ValidationResultControlId="Page_4_Color_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Plate Type:" ValidationControlType="Label" ValidationControlId="Page_4_PlateType_lbl" ValidationResultControlId="Page_4_PlateType_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="License Plate Number/ Bicycle S/N#:" ValidationControlType="Label" ValidationControlId="Page_4_PlateNumber_lbl" ValidationResultControlId="Page_4_PlateNumber_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="License State:" ValidationControlType="Label" ValidationControlId="Page_4_LicenseState_lbl" ValidationResultControlId="Page_4_LicenseState_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Contact Type:" ValidationControlType="Label" ValidationControlId="Page_4_ContactType_lbl" ValidationResultControlId="Page_4_ContactType_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="BJU ID:" ValidationControlType="Label" ValidationControlId="Page_4_ContactId_lbl" ValidationResultControlId="Page_4_ContactId_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="First Name:" ValidationControlType="Label" ValidationControlId="Page_4_FirstName_lbl" ValidationResultControlId="Page_4_FirstName_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Middle Name:" ValidationControlType="Label" ValidationControlId="Page_4_MiddleName_lbl" ValidationResultControlId="Page_4_MiddleName_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Last Name:" ValidationControlType="Label" ValidationControlId="Page_4_LastName_lbl" ValidationResultControlId="Page_4_LastName_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Business Name:" ValidationControlType="Label" ValidationControlId="Page_4_BusinessName_lbl" ValidationResultControlId="Page_4_BusinessName_tr" VisibleChecked="0" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Type:" ValidationControlType="Label" ValidationControlId="Page_4_Type1_lbl" ValidationResultControlId="Page_4_Type1_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Street Address/Apt. #:" ValidationControlType="Label" ValidationControlId="Page_4_PermanentAddress_lbl" ValidationResultControlId="Page_4_PermanentAddress_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="City:" ValidationControlType="Label" ValidationControlId="Page_4_City_lbl" ValidationResultControlId="Page_4_City_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="State:" ValidationControlType="Label" ValidationControlId="Page_4_State_lbl" ValidationResultControlId="Page_4_State_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Zip:" ValidationControlType="Label" ValidationControlId="Page_4_Zip_lbl" ValidationResultControlId="Page_4_Zip_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Local Address:" ValidationControlType="Label" ValidationControlId="Page_4_LocalAddress_lbl" ValidationResultControlId="Page_4_LocalAddress_tr" VisibleChecked="0" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="City:" ValidationControlType="Label" ValidationControlId="Page_4_LocalCity_lbl" ValidationResultControlId="Page_4_LocalCity_tr" VisibleChecked="0" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="State:" ValidationControlType="Label" ValidationControlId="Page_4_LocalState_lbl" ValidationResultControlId="Page_4_LocalState_tr" VisibleChecked="0" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Zip:" ValidationControlType="Label" ValidationControlId="Page_4_LocalZip_lbl" ValidationResultControlId="Page_4_LocalZip_tr" VisibleChecked="0" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Home Phone:" ValidationControlType="Label" ValidationControlId="Page_4_HomePhone_lbl" ValidationResultControlId="Page_4_HomePhone_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Cell Phone:" ValidationControlType="Label" ValidationControlId="Page_4_CellPhone_lbl" ValidationResultControlId="Page_4_CellPhone_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Work Phone:" ValidationControlType="Label" ValidationControlId="Page_4_WorkPhone_lbl" ValidationResultControlId="Page_4_WorkPhone_tr" VisibleChecked="0" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Email Address:" ValidationControlType="Label" ValidationControlId="Page_4_EmailAddress_lbl" ValidationResultControlId="Page_4_EmailAddress_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Cell Phone Provider" ValidationControlType="Label" ValidationControlId="Page_4_ddcellphone" ValidationResultControlId="Page_4_CellPhoneProvider_tr" VisibleChecked="0" validationChecked="0" ValidationLabelControlId="Page_4_Cell_Phone_provider_lbl" ValidationReviewControlId="Page_4_CellPhoneProvider_tr" /><CustomTitle ValidationControlDisplayName="Vehicle Driver:" ValidationControlType="Label" ValidationControlId="Page_4_Owner_lbl" ValidationResultControlId="Page_4_Owner_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Notes/Comments:" ValidationControlType="Label" ValidationControlId="Page_4_Notes_lbl" ValidationResultControlId="Page_4_Notes_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="VIN:" ValidationControlType="Label" ValidationControlId="Page_4_VIN_lbl" ValidationResultControlId="Page_4_VIN_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Insurance Company Name:" ValidationControlType="Label" ValidationControlId="Page_4_Insurance_Co_Name_lbl" ValidationResultControlId="Page_4_Insurance_Co_Name_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Insurance Policy #:" ValidationControlType="Label" ValidationControlId="Page_4_Insurance_Policy_lbl" ValidationResultControlId="Page_4_Insurance_Policy_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Insurance Policy Expiration Date:" ValidationControlType="Label" ValidationControlId="Page_4_Insurance_Policy_Exp_Date_lbl" ValidationResultControlId="Page_4_Insurance_Policy_Exp_Date_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /><CustomTitle ValidationControlDisplayName="Drivers License Number:" ValidationControlType="Label" ValidationControlId="Page_4_Drivers_License_lbl" ValidationResultControlId="Page_4_Drivers_License_tr" VisibleChecked="1" validationChecked="0" ValidationLabelControlId="" ValidationReviewControlId="" /></Page></PageCustomTitles>">
<input name="hdnFirstPage" type="hidden" id="hdnFirstPage" value="1">
<input name="hdnUpdateId" type="hidden" id="hdnUpdateId">
<input name="hdnUpdateVehicleId" type="hidden" id="hdnUpdateVehicleId">
<input type="hidden" name="hdnIDLength" id="hdnIDLength">
<input type="hidden" name="hdnGroupName" id="hdnGroupName" value="PARKING">
</div>
<script type="text/javascript">
function removeBorder() {
//ENTDEV-1293
$('#Page_4 .olrTableBgd tr td div').each(function() {
if ($(this).css("display") == "none") {
$(this).parent().css("border-bottom", "0");
$(this).parent().css("padding", "0");
}
});
$('#Page_4 .olrTableBgd tr td').each(function() {
if ($(this).attr("colspan") == "2" && $(this).text().trim() == "") {
$(this).css("border-bottom", "0");
$(this).css("padding", "0");
}
});
}
LoadGrids();
</script>
<script type="text/javascript">
//<![CDATA[
var gDES_Actions = new Array({
Run: DES_DoValidate,
Init: DES_InitValAction,
Enabled: true,
Cond: {
Eval: DES_EvalDTCheckCond,
Init: DES_InitOneFldCond,
Enabled: true,
Parse: DES_DTBExtParseDate,
DFmt: 0,
UnDO: ' ',
HUEvts: 1,
IDToEval: 'Page_3_Insurance_Policy_Exp_Date_textbox1'
},
CanRun: DES_CanRunVal,
VT: 'VAL',
VIdx: 0,
ErrMsg: 'Invalid Date',
Dspl: 2,
Format: DES_TextFmttr,
ErrFldID: 'Page_3_Insurance_Policy_Exp_Date_ctl01',
Blnk: true,
BlnkCss: 'DESVALBlinkText'
}, {
Run: DES_DTTBAction,
Init: DES_DTBInit,
Enabled: true,
Cond: {
Eval: DES_EvalDTCheckCond,
Init: DES_InitOneFldCond,
Enabled: true,
Parse: DES_DTBExtParseDate,
DFmt: 0,
UnDO: ' ',
HUEvts: 1,
IDToEval: 'Page_3_Insurance_Policy_Exp_Date_textbox1'
},
CanRun: DES_CanRunActn,
VT: 'DTTB',
Format: DES_DTBFmt,
PUID: 'Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN',
TBType: 1,
Today: DES_MakeUTCDate(2024, 8, 6),
Min: DES_MakeUTCDate(1900, 0, 1),
Max: DES_MakeUTCDate(2079, 5, 6),
SDId: ''
});
//]]>
</script>
<script type="text/javascript">
//<![CDATA[
DES_AddCVOs(new Array({
id: 'PDWWNestedCalendarForDateTextBox',
IsValNull: DES_CALIsValNull,
Hookup: DES_CALHU
}), false);
DES_AddControls(new Array({
CVO: 'PDWWNestedCalendarForDateTextBox',
id: 'Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN'
}), false);
DES_InitPopups(new Array({
id: 'Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN',
OwnID: 'Page_3_Insurance_Policy_Exp_Date_textbox1_PU_TG'
}, {
id: 'Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM'
}));
DES_InitMOs(new Array({
id: 'Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN',
Type: 11,
IsPopup: 1,
MOCss: ' DES_CalMouseOver',
OnSelChg: 'DES_DTBFromCal(null,\'Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN\',1);',
MV: 1,
MCC: 1,
IsSelD: DES_CALIsSelDate,
SetDV: DES_CALSetDV,
GetDV: DES_CALGetDV,
GetDL: DES_CALGetDateLbl,
HasClSl: DES_CALHasCellSel,
IsClSl: DES_CALIsCellSel,
SetClSl: DES_CALSetCellSel,
ClearClSl: DES_CALClearCellSel,
FirstClSl: DES_CALFirstClSl,
WDCSS: 'DES_CalDay',
OMCSS: 'DES_CalOtherMonthDay',
SelCSS: ' DES_CalSelected',
TCSS: ' DES_CalToday',
SpCSS: ' DES_CalSpecialDay',
ORCSS: 'DES_CalOutsideRangeDay',
WEBG: '',
WEBGOM: 1,
WEBGTC: 1,
WEBGSpC: 1,
DHNm: 'Sun|Mon|Tue|Wed|Thu|Fri|Sat',
DHCss: 'DES_CalDayHeader',
DHCCss: 'DES_CalDayHeaderCell',
WRCss: 'DES_CalWeekRowsTable',
WRCW: 30,
WRCH: '',
WRCSp: 0,
WRCPd: 2,
WRTI: 9876,
WRHA: 'right',
WRVA: 'middle',
FBrdC: '',
DCBrd: 1,
WRAH: 30,
SpDtTT: '',
TodayTT: 'Today',
FDOW: 0,
Month: 8,
Year: 2024,
KeyB: 1,
Today: DES_MakeUTCDate(2024, 8, 6),
OMDays: 1,
OMWks: 1,
LRMd: 2,
UDMd: 1,
CmdKeys: '{#32|2}{T|2}{N|2}{#32|33}{?|1}',
JBy: 12,
SelCell: '',
AChgN: 1,
SelChgC: 'noapplycmd',
OSC: DES_CALUpdateOther
}, {
id: 'Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM',
Type: 10,
BL: 1,
MOCss: ' DESMenuMouseOver',
PCFnc: DES_CALMenuCmd,
Cmds: new Array({
CID: 30,
Lbl: 'Apply',
Key: ' '
}, {
CID: 31,
Lbl: 'Close',
Key: ' '
}, {
CID: 2,
Lbl: 'Today',
Key: 'Space'
}, {
CID: 32,
Lbl: 'Clear',
Key: ' '
}, {
CID: 33,
Lbl: 'Show',
Key: 'Space'
}, {
CID: 1000,
Sep: 1
}, {
CID: 12,
Lbl: 'Previous Month',
Key: ' '
}, {
CID: 13,
Lbl: 'Next Month',
Key: ' '
}, {
CID: 15,
Lbl: 'Previous Year'
}, {
CID: 16,
Lbl: 'Next Year'
})
}));
DES_InitActions();
DES_InitKOs(new Array({
CID: 'Page_3_Insurance_Policy_Exp_Date_textbox1',
Fltr: '1234567890/',
Ent: 1,
ATab: 1,
KCmd: DES_DTBKCmd,
KMap: '{#32|2}{T|2}{N|2}{,|10}{-|10}{<|10}{.|11}{+|11}{>|11}{C|20}{?|1}'
}));
DES_InitCMs(new Array({
TglID: 'Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN',
id: 'Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_CM',
BT: 1,
V1: 'Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN',
EFnc: DES_CALEnableMenuItem,
Items: new Array(30, 31, 2, 32, 33, 0, 12, 13, 15, 16)
}));
DES_InitBEOs(new Array({
Url: '/CESIReportExec/DES/Appearance/Date And Time/Calendar.jpg',
PU: 1,
MU: 1
}, {
Url: '/CESIReportExec/DES/Appearance/Date And Time/LeftCmd_3DBlue.GIF',
PU: 1
}, {
Url: '/CESIReportExec/DES/Appearance/Date And Time/RightCmd_3DBlue.GIF',
PU: 1
}), new Array({
i: 'Page_3_Insurance_Policy_Exp_Date_textbox1_PU_TG',
p: 0
}, {
i: 'Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_PrevMonth',
p: 1
}, {
i: 'Page_3_Insurance_Policy_Exp_Date_textbox1_PU_PN_NextMonth',
p: 2
}));
DES_InitSOCs(new Array({
id: 'Page_3_Insurance_Policy_Exp_Date_textbox1'
}));
//]]>
</script>
</form>Text Content
Apply Close Today Space Clear Show Space Previous Month Next Month Previous Year Next Year September 2024 Start Contacts Vehicle Review Finish Requestor's IP Address : 10.151.16.9 Register For Permit Permit Type ACADEMY ACADEMY SECOND VEHICLE ARAMARK EMPLOYEE CONTRACTOR DAY STUDENT DORM STUDENT DUAL CREDIT F/S CHILD F/S MOTORCYCLE/MOPED F/S SECOND VEHICLE FACULTY BICYCLE FACULTY/STAFF GRAD STUDENT GRADUATE ASSISTANT PRESS PRESS BIKE PRESS MOTORCYCLE/MOPED PRESS SECOND VEHICLE RETIREE SECOND VEHICLE(S) SERMON AUDIO STUDENT BICYCLE STUDENT MOTORCYCLE/MOPED Permit Period ANNUAL F/S UNLIMITED SEMESTER Affiliation ACADEMY ARAMARK EMPLOYEE BJU EDUCATION GROUP BJU INC. DAY STUDENT DORM STUDENT DUAL CREDIT F/S CHILD MASTER'S PROGRAM RETIREE SERMON AUDIO Contact Information Contact Type: PERSON BUSINESS BJU ID: First Name Middle Name Last Name Business Name: Vehicle Driver IMPORT VEHICLE DRIVER VEHICLE OWNER Street Address/Apt. # City/State/Zip Code , , Local Address: ( if different from above) City/State/Zip Code: , , Home Phone Cell Phone/ Provider AT&T CRICKET T-MOBILE VERIZON Work Phone: Email Drivers License Number: Drivers License State Contact Type Name Home Phone Cell Phone Work Phone Enter Vehicle Information Please enter the Vehicle information. Body Style 2 DOOR HATCHBACK 2 DOOR SEDAN 2-DR SEDAN 4 DOOR HATCHBACK 4 DOOR SEDAN 4-DR SEDAN BICYCLE BUS/COACH CAMPER/RV CONVERTIBLE CROSSOVER SUV FULL SIZE VAN HATCHBACK - 2 DR HATCHBACK - 4 DR MINIVAN MOTORCYCLE OTHER PICK UP TRUCK SEMI TRUCK STATION WAGON SUV TK (PICK-UP) TRACTOR/LAWN MOWER TRAILER TRUCK (OTHER) Vehicle Type 21 SPEED GIANT ACCRUE ACURA AEROLITE ALAMEDA ALFA ROMEO AUDI AZUKI BASHAN BMW BUICK CADILLAC CANADA MOUNTAIN BIKE CHEVROLET CHRYSLER COLUMBIA DAEWOO DIAMONDBACK PARKWAY DODGE DUCATI DYNACRAFT BEAR CARE EAGLE FELT FIAT FORD FREE SPIRIT FREE SPIRIT FASTBACK FUJI POLICE GARY FISHER GATEWAY SCHWINN GAUNTLET GENESIS GEO GIANT GIANT REVIVE RECUMBE GMC GOTRAX ALPHA XL GT GT AGGRESSOR PRO HARLEY DAVIDSON HONDA HUFFY HUFFY BLACKWATER HUFFY MOUNTAIN BIKE HUFFY MT. STORM HUFFY ROCKTRAIL HUFFY STALKER HUMMER HYPERSHOCKER2G HYUNDAI INFINITI INFINITY ISUZU JAGUAR JAMIS JC PENNEY JEEP KAWASAKI KENT KENT INT'L THRUSTER KENT INTERNATIONAL KIA KINROAD LAND ROVER LEGACY SCHWINN LEXUS LINCOLN LINGYU MAGNA MAGNA EXCITOR MAGSTER MAZDA MERCEDES MERCEDES BENZ MERCURY MG MINI COOPER MITSUBISHI MONGOOSE MOPED MOTOFOREAWE MU MURRAY N/A NASHBAR NELLUSSO NEXT NEXT AVALON 32681 NISSAN OLDSMOBILE OPEN ROAD AT60 OTHER OZARK TRAIL OZONE 500 PEUGEOT PLYMOUTH PONTIAC PORSCHE RANGE ROVER RIVERSIDE ROAD SHARK ROADMASTER ROALSTER ROSSROSS EUROSPORT ROYCE/UNION SAAB SATURN SCHWINN SCHWINN JAGUAR SCHWINN MIDMOOR SCHWINN MIRANDA SCHWINN PANTHER SCHWINN PASSAGE SCHWINN PROTOCOL SCHWINN RIDGE AL SCHWINN STARLET SCHWINN STRINGRAY SCHWINN WORLD SCION SHOCK FORCE SIGNATURE XL-SCHWIN SMART SOCOOL-NEWSLLY SPECIALIZED STALKER STONE MOUNTAIN HUFFY SUBARU SUZUKI TESLA TESS DIAMONDBACK TOYOTA TREK TREK 7.1 FX TREK 700 TREK ANTELOPE TREK MOUNTAIN BIKE TREK MOUNTAIN TRACK TREK MULTITRACK 7300 TREK NAVIGATOR 2.0 TRIUMPH VERTICAL PK7 VILANO VITA SPECIALIZED VOLKSWAGEN VOLVO YAMAHA ZNEN Model Year (YYYY): Color BEIGE BEIGE/BLACK BEIGE/BROWN BEIGE/CHAMPAGNE BLACK BLACK/BLACK BLACK/BLUE BLACK/GRAY BLACK/PURPLE BLACK/RED BLACK/SILVER BLACK/TAN BLACK/UNKNOWN BLACK/WHITE BLUE BLUE/BLACK BLUE/BLUE BLUE/GRAY BLUE/GREEN BLUE/SILVER BLUE/UNKNOWN BLUE/WHITE BRONZE BRONZE/BRONZE BRONZE/BROWN BROWN BROWN/BLACK BURGANDY BURGUNDY BURGUNDY/BLACK BURGUNDY/BURGUNDY BURGUNDY/GOLD BURGUNDY/RED CASHMERE BEIGE CHAMPAGNE CHAMPAGNE/BLACK CHAMPAGNE/SILVER CHARCOAL/DARK GRAY CREAM CREAM/BLACK CREAM/BROWN CREAM/CREAM GOLD GOLD/BEIGE GOLD/BROWN GOLD/GOLD GOLD/GRAY GOLD/UNKNOWN GRAY GRAY/BLACK GRAY/BLUE GRAY/BROWN GRAY/GRAY GRAY/SILVER GRAY/TAN GRAY/UNKNOWN GRAY/WHITE GREEN GREEN-GRAY GREEN/BEIGE GREEN/BLACK GREEN/BLUE GREEN/GOLD GREEN/GRAY GREEN/GREEN GREEN/SILVER GREEN/WHITE MAROON MAROON/BLACK MAROON/GRAY MIDNIGHT JADE NAVY ORANGE ORANGE/BLACK OTHER PEWTER/GRAY PINK PURPLE PWTER RED RED/BLACK RED/BURGUNDY RED/MAROON RED/RED RED/SILVER RED/UNKNOWN RED/WHITE SAND SILVER SILVER/BLACK SILVER/GOLD SILVER/GRAY SILVER/SILVER SILVER/UNKNOWN TAN TAN/BLACK TAN/GRAY TAN/UNKNOWN TEAL TEAL/BLACK TEAL/BLUE TEAL/TEAL WHITE WHITE/BLACK WHITE/BRONZE WHITE/CREAM WHITE/GRAY WHITE/GREEN WHITE/SILVER WHITE/TAN WHITE/UNKNOWN WHITE/WHITE YELLOW YELLOW/BLACK YELLOW/YELLOW License Plate Type AUTOMOBILE BICYCLE FARM VEHICLE MINIVAN MOTORCYCLE PASSENGER SEMI-TRUCK SUV TRUCK License Plate Number/ Bicycle S/N# (do not enter spaces) Licensing State VIN Vehicle Driver Insurance Company Insurance Policy # Policy Exp. Date Number Model Year Color Make Review Report Please review the report. If all the information is correct, click the Continue button to submit the report. If you need to modify some information, click the desired modify link. This will be your last chance to change information for this report. General Information: Permit Type: Amount Due: Permit Period: Permit Registration Type: Contacts Information: Vehicles Information: Notes/Comments: Your Permit Registration Request has been filed. Your Registration is complete. Copyright © 2024 Omnigo Software. All Rights Reserved. Please Wait