Do-Not Solicit List

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.

    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:


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

    This field is not part of the form submission.

17. Submit

* indicates a required field