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 vendor@lansingjuneteenthcelebration.org.
Company Name
*
Please enter the name of the organization, business, political figure, etc.
Contact Name
*
First Name
Last Name
Organization or Contact Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Comments or additional information you want us to know:
Total Payment
Balance Payments (select all that apply)
*
Vendor - June 10 Only Balance - $25
Vendor - June 16 Only Balance - $50
Vendor - June 17 Only Balance - $75
Vendor - June 16-17 Combo Balance - $87.50
Vendor - All 3 Dates Combo Balance - $100
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
Sponsorships-Hidden
15
65
0
0
Please review the total payment amount and correct any errors before submitting form.
Submit
Print Form
Should be Empty: