Event Payment Form
Only complete this form if your event has been approved and you have been asked by Waterfront Park staff to submit a payment.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Event Name
*
Event Date
Event Total
*
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( X )
USD
Credit card payments are subject to a 3% credit card processing fee
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Additional Comments
Signature
Clear
Submit
Should be Empty: