Registration Form - Mount St. Mary’s University

Vehicle Registration Form

Public Safety Vehicle Registration for Non-Resident Students of MBA or MED

Personal Information

First Name:*

Last Name:*

Current Address*

Email*

Student ID #*

Class Status*

MBA MED

Cell Phone Number*

Vehicle Registration Card (Owner's Name and Address)*

Vehicle Information

Make:*

Model:*

Year:*

Color:*

Lic. Plate #:*

State*

16300 Old Emmitsburg Road | Emmitsburg, MD 21727
Map & Directions | admissions@msmary.edu | 301-447-6122

Frederick Campus | 5350 Spectrum Drive | Frederick, MD 21703
Map & Directions | inquiry@msmary.edu | 301-682-8315