Discounted Monthly Rate Request Form
Parking Companies Will Compete For Your Business
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1 Where would you like to park?

Nearest intersection:      Ave. &  St.
Zip Code:    
2 Choose the maximum number of blocks you are willing to travel from the above address to get to the garage:

 1 - 3 blocks
 5 - 10 blocks
 Cheapest parking anywhere
 Other (please specify): 
3 Choose the minimum plan you would consider (part-time plans cost 25%-50% less):

 Regular (24-Hr Parking with access 4+ times per month)
 Storage (24-Hr Parking with access 0-3 times per month)
 Weekdays only
 Days or Nights only
 Other (please specify): 
4   Enter the maximum rate you are willing to pay: $ (tax incl.)
5   Enter your preferred start date:  
6 Enter vehicle information:

Make (e.g., Lincoln, Audi, Lexus):
Model (e.g., Navigator, A4, GS350):  
Year:
7 Choose location where you currently park:

Central/Kinney/Meyers   Hertz
Champion   Icon
Edison ParkFast   Impark
Five Star   Imperial
GGMC   MPG/MPS
GMC   QuikPark
Glenwood   RapidPark

 Street
 Other
8  Enter contact information:

Name (Required):  First       Last 
Phone (Required):   () -   ext.
Email (Optional):