Form Center

2. Street Number*
4. Street Name*
5. Street Type
6. Directional Suffix
   If applicable
8. Apt. No.
10. City*
    Only City of Grapevine addresses will be included in the Do-Not Solicit list.
12. Affirmation
    I affirm that I am the owner or occupant of the residence listed above and wish my address to be added to the Do-Not Solicit list.
14. Email Address*
    The email address serves as confirmation of the information listed above. It is for City purposes only and will not be released.
Leave This Blank:


16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit

* indicates a required field