New Member Form

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New Member Form

Thank you for joining the Great Falls Parkout!

Upon completing this form and submitting dues payment, we'll email you within 3 business days about your membership tags and with information about Saturday drop-offs at the Parkout. Please check your junk mail folder for our email, and add us to your contacts.

If you have questions or comments, feel free to note them at the end of this form or email greatfallsparkout@gmail.com at any time.

Welcome to the Parkout!

Email *

Last name *

First name *

Second name for account (optional)

Phone Number *

Street Address *

City, State and Zip Code *

1st License Plate Number *

2nd License Plate Number (if applicable)

3rd License Plate Number (if applicable)

Why are you joining the Great Falls Parkout? (check all that apply) *

I am a new resident to Great Falls.

I like the Parkout's low annual cost, compared to our area's curbside options.

I like to keep large trucks off my street and/or driveway.

There is no option for trash/recycling curbside service in my neighborhood.

Other:

Required

How did you first learn about the Great Falls Parkout? *

Internet search for trash/recycling and/or the Great Falls Parkout website

The Great Falls area's "Nextdoor" Neighborhood Network

Friend and/or neighbor

Other:

If a Parkout member referred you, PLEASE share their name so we can thank them:

Questions? Comments?

Select a payment option. (Payment option details are included again after you click the SUBMIT button.) These dues are pro-rated to cover the remainder of the July 2024-June 2025 membership year.
*

Pay $170 online via PayPal at https://www.paypal.com/ncp/payment/SRQZRJCPMUQZ6

Pay $170 via check made payable to DCT&R and mail to Great Falls Parkout, P.O. Box 704, Great Falls, VA 22066

Send me a copy of my responses.

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