Lansing Juneteenth Celebration: Vendor Balance Payment Form
Please use this form to complete any vendor balance-due payments. After entering your information, click the submit button at the bottom. This will take you to PayPal, where you can pay via your PayPal account, or a major credit card or bank debit card. You do not need a PayPal account to process your transaction - you can pay as a "guest". You will receive a confirmation via email. Please contact us with questions at firstname.lastname@example.org.
Please enter the name of the organization, business, political figure, etc.
Organization or Contact Address
Street Address Line 2
District of Columbia
Comments or additional information you want us to know:
Balance Payments (select all that apply)
Vendor - Friday Balance - $15
Vendor - Saturday Balance - $65
Enter Electricity Balance Amount
Enter Additional Fees Per Vendor Committee
Electricity Balance (Enter Amount)
Enter Amount - $25 if standard electricity; or amount for additional electricity per vendor committee
Additional Fee Balance (Enter Amount)
Enter Amount for additional fees (oversize tents, specialty equipment, etc) per vendor committee
Total Payment Amount
( X )
Please review the total payment amount and correct any errors before submitting form.
Should be Empty: