Pay Special Event Fees Online

Organization / Company Name

Event Name

Event Date

Phone Number

For Refunds - Make Check Payable to:

Fee / Deposit Payment Options

	Single Day Event deposit	100.00
	Multiple Day Event deposit	200.00
	Road Race / Parade / Procession deposit	150.00
	Barricade(s) $25.00 per barricade (non-refundable)	25.00
	Application Fee (non-refundable)	25.00
Subtotal
Processing Fee
Total

Payments processed through Stripe.

Email Address *

Card Holder Name *

Credit Card Number *

Security Code *

Exp Month *

Exp Year *