CITY OF PATERSON
PARKING AUTHORITY

Paterson Parking Authority Customer Information Form

REV. KENNETH CLAYTON
Chairman

DWAYNE COX
Vice Chairman

SAMIR B. GOOW
Secretary

IDIDA RODRIGUEZ
Treasurer

PAULA SANTANA
Asst. Secretary

JOSEPH BARBIERI
Asst. Treasurer

ASHLEY TURNBULL
Commissioner

TONY PEREZ
Executive Director

DIANA CARABELLO
Manager of Operations

 Dear Customer:

Please take a moment to help us update our records; this will help expedite our transaction time in assisting you.
Please fill in all the fields below, this information is necessary for the Parking Authority's records. This information will also help to locate you in case there is an emergency with your vehicle while parked in our facility.

Thank you for your assistance.

Your Information:

Last Name/First Name:

Entity/Company Name:

Street

City State Zip

Phone # Day Cell

Fax#

Vehicle Information: Vehicle#1:

License Plate#:

Vehicle Make:

Vehicle Year:

Vehicle Model:

Vehicle Color:

To add additional vehicles please continue to
125 BROADWAY SUITE 100. PATERSON, NEW JERSEY 07505
(973)977-3999. FAX (973)977-8039. TOLL FREE: 1-877-250-3255. EMAIL:PATERSONPARKING@MSN.COM