Surcharge Form
Merchants: Retail, F&B, Equipment Rentals
Business Name
*
Billing Email
*
example@example.com
Surcharge for the Month of
*
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Surcharge for the Year of
*
Please Select
2026
2025
2024
2023
2022
2021
Gross Taxable Sales
Resort Association Assessment at 6%
Submit
Should be Empty: