ROCC Parking Decal & Electronic Security Gate Opener Request Form

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ROCC Parking Decal & Electronic Security Gate Opener Request Form

Please fill out one form for each vehicle, only after receiving your permanent license plate.

If you have any questions, please contact the Member Services office at (713) 529-4321.

**Two Electronic Gate Openers will be issued to each family at no charge, additional openers are available at a cost of $20 each.**

Do you need a Decal or a Gate Opener? *

Decal

Gate Opener

Both

Primary Driver Name: *

Member Number *

Do you have an EZ Tag? (If yes, the EZ Tag will serve as your Gate Opener.) *

Yes

If yes, please enter your EZ Tag Number:

Make, Model, & Year of Vehicle: *

Permanent License Plate Number of Vehicle: *

How would you like to receive your decal/gate opener? *

By mail

Pick up at Member Services Front Desk

Is this vehicle replacing a vehicle we have on file?

Yes (I need to remove a vehicle from the ROCC records)

No (this is an additional vehicle)

Clear selection

Trade-In Make, Model, & Year

Vehicle to be removed from ROCC Records

Submit

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