MONTHLY PARKING REGISTRATION FORM
200 East Parking Corp.
1081 3rd Ave, New York, NY 10065
Base Rate:
Suv:
Tax:
Total:
Start Date:
Vehicle Type
Regular
SUV
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How do you intend on parking?
HT - HOUSE TENANT
DN - 24 HOURLY
D - DAY ONLY
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Vehicle Information
Make
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1985
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1982
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1980
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State
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Alaska
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Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Outside of US
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Month
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04
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Year
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Subtotal:
Transaction Fee:
Discount:
Total:
NOTE: RevoPay, our electronic payment provider, must charge this fee to cover monthly and transaction fees charged by the merchant acquiring bank as well as transaction fees charged by payment processors.
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