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Islamic Cultural Center of Northern California

Monthly Parking Application

REQUIRED INFORMATION

Personal Information:

Name:_______________________________________________________________________________
____________

Last First

Home
Address:_____________________________________________________________________________
______

Number and Street City and State Zip code

Cell Phone: (____)_____-______________ Nighttime Phone: (____)_____-

________________

Business Phone: (____)_____-__________ E-Mail:

_____________________________________

Employer Information:

Employer
Name:_______________________________________________________________________________
__

Employer
Address:_____________________________________________________________________________
___

Number and Street City and State Zip code

Employer Telephone Number: (____)________-________________

Vehicle Information:

Make/Model:________________________________ License Plate #:__________________________

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Make/Model:________________________________ License Plate #:__________________________

Driver’s License #:_____________________________ State of Issue:___________________________

Desired Start Date:_____________________ Desired End Date:_______________________

PLEASE READ THIS CAREFULLY:

This permit allows you to park one vehicle in the designated area at your sole
risk. The Islamic Cultural Center of Northern California (ICCNC) does not agree to
safeguard your vehicle or assume care, custody, or control of your vehicle or its
contents. ICCNC is not responsible for fire, theft, damage, or loss to your vehicle or
its contents. Only a license to park is granted hereby, and no bailment is created. In
the event that a lawsuit is filed for any casualty to your vehicle or its contents, you
agreed to defend and indemnify ICCNC for any other type of loss including
reasonable attorney fees. This is your entire contract and no ICCNC employee may
modify or waive any of its items. 

MONTHLY PARKING RULES AND REGULATIONS:

1)      MONTHLY PARKING FEES ARE DUE THE FIRST OF EACH MONTH. If not paid
by the fifth business day of the month, parking privileges are subject to cancellation.
2)      All checks should be made payable to “ICCNC”.
3)      Use of the monthly parking permit by any other than the designated user may
result in cancellation of parking privileges. Monthly parking authorization permits are
not transferable.
4)      Cars entering without a current monthly permit are subject to the maximum
daily rate, no exceptions.
5)      ICCNC reserves the right to collect or cancel all non-valid or non-renewed
monthly permits.
6)      Monthly permit holders may park in any space except those that are restricted
or reserved.
7)      The customer agrees to report any damage caused by another customer’s
vehicle. If discrepancies exist, please see the ICCNC manager.
8)      The customer agrees to follow the instructions of lot personnel and/or posted
signs.
9)      Prior notice of termination of monthly parker is required. Please contact
the ICCNC manager.
10)   The customer must always leave the parking permit in a visible area in the car
while parked in the lot.
11)      Do not leave valuable in the vehicle. Lock all possessions.
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12)    ICCNC reserves the right to cancel this contract with a one month notice.

I, ______________________________________, hereby agree to accept the monthly parking privileges

based on the above conditions.

Applicant Signature:_____________________________________
Date:________________________________

Approved By:____________________________________________

Dear Parking Participant/Customer,

The ICCNC parking hours are Monday through Friday, Sundays and Holidays. The monthly parking fee
is $120.00 and is due at the latest on the fifth of every month. Payments not received by the fifth are
subject to a $10.00 late penalty. There is also a $10.00 penalty for all bounced checks.

ICCNC reserves the right to ask for clearance of the parking lot any day of night throughout the year.

There is 30 day cancelation notice required.

Thank you for your cooperation. We appreciate your business and strive to provide you with the best
service possible.

ICCNC management

Please acknowledge your agreement by signing a copy of this notice

Signature:
_____________________________________________________________________________________
__
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