Check Marks For Parks : Fort Smith Parks and Recreation

The "Check Marks For Parks" utility bill program is a great opportunity to help Fort Smith's parks prosper, a few pennies at a time.

Residents and business owners who want to help improve the 23 Fort Smith city parks can now make donations on their municipal utility bills.

All money collected will be dedicated to park improvements such as playground equipment and picnic areas.

Three donation options are available:

Option 1

You can choose to round up your bill to the next whole dollar. For example, if your bill is $32.69, you can round it up to $33.00. The extra 31 cents will be used for future parks projects and improvements.

Option 2

You may choose to have a fixed donation amount added to your utility bill each month. For example, you could "check off" to donate $3 a month, and that amount will be added to your municipal utility bill each month.

Option 3

You may choose to make a one-time donation for park improvements by adding the donation amount to your municipal utility bill payment. Each month, your bill wll have a space for writing in such a donation.

Please fill out personal information as it is listed on your municipal utility bill.

All information submitted is confidential and will only be used for the purpose of applying donation amounts as indicated by you, the customer.

First Name*

Last Name*

Service Address*

City*

State*

ZIP Code*

Account Number (if known)

Please Check One or More Donation Options:

Please round up my monthly municipal utility bill to the next highest dollar with the donated amount to be used for parks improvements.

Please add a recurring donation to my monthly municipal utility bill for parks improvements.

Recurring Donation Amount

Please add a one-time donation to my monthly municipal utility bill for parks improvements.

One-Time Donation Amount

Comments or Instructions

NOTICE: THE BOX BELOW WILL ACT AS AN ELECTRONIC SIGNATURE.

By checking the box below and submitting this information, I understand that my Fort Smith water bill will be adjusted according to my selection on this form. I further understand that in order for any reccurring amounts that I selected to be stopped, I will need to send a written notice in my next water bill indicating my decision.

My Electronic Signature

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Please confirm that you are not a script by entering the letters from the image.

The "Check Marks For Parks" utility bill program is a great opportunity to help Fort Smith's parks prosper, a few pennies at a time.

Three donation options are available:

Option 1

Option 2

Option 3

Please fill out personal information as it is listed on your municipal utility bill.

Please Check One or More Donation Options:

NOTICE: THE BOX BELOW WILL ACT AS AN ELECTRONIC SIGNATURE.

Fort Smith Parks & Recreation

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479.784.1006

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