SPECIAL EVENTS/PERMIT FORM

Mason Pond/Shenandoah Deck Validation Form

 

Please complete this form and click the submit button at bottom of this page.

Phone: 3-2065 for assistance

 

 

Name of the Event:         Date of the Event:

Event Start Time:              Event End Time:

Number of Vehicles Expected:            

 

LOT RENTAL:   $400.00 per day    and $250 during weekends     Lots Requested:

PARKING VALIDATIONS (weekend only):

                               Quantity:    Cost: $ 7  /Each (1/2 of All Day rate of $14)    Total:

Parking Signs: Quantity : Cost $10/Each (Black and White), Cost $15/Each (Color) Total:

  

 

Description:

RENTAL SIGN HOLDER: A-Frame ($10) Wind-master ($20) Manpower : $25 Hour 4 Hour minimum

PERMITS WILL NOT BE MAILED OUT.

NO REFUNDS

ORDERS ARE PROCESSED FOR PICKUP IN 48 HOURS DURING REGULAR BUSINESS HOURS

 

VISA/MC CHARGES ACCEPTED IN OFFICE ONLY

 NAME:            DEPARTMENT:             MSN:

PHONE:          PLEASE SEND BILL TO:     Org Code #:

I AM PLACING THIS ORDER WITH THE UNDERSTANDING THAT THERE ARE NO REFUNDS AVAILABLE FOR SPECIAL PERMITS.

I ATTEST THAT I AM AUTHORIZED TO MAKE THIS TRANSACTION.

Signature authority for org code listed

LAST NAME:         FIRST NAME: