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Carpool Registration-City of Wilmington Employees

To qualify for preferential parking, each carpool must be previously registered and authorized. Enter the required information and click submit to complete your carpool registration. Note: All members of the pool must also register with the Way2Go Club.

*Indicates lines that must be completed.

Pool Members
 (Please enter names in title case. Ex. "John Smith" not "JOHN SMITH")

   *

First Name    

Last Name

*

First Name

 Last Name

 

First Name

 Last Name

 

First Name

      Last Name    

Pool Vehicles
 (You may register more than one vehicle for each member. Only one hang tag will be issued and shared for each carpool. The permit must be displayed at all times.)

  * Owner's First Name Last Name
  * Make Model
  * Vehicle Tag # State
         
  Owner's First Name Last Name
  Make Model
  Vehicle Tag # State
         
  Owner's First Name Last Name
  Make Model
  Vehicle Tag # State
         
Owner's First Name Last Name
  Make Model
  Vehicle Tag # State
         
  Owner's First Name Last Name
  Make Model
  Vehicle Tag # State
         
  Owner's First Name Last Name
  Make Model
  Vehicle Tag # State

Pool Schedule

   * Approximately how often do members plan to  carpool?

Staff Use Only

Permit #

 Authorized by

Date Issued

 Date expired

 
 

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