Fairfax Campus Special Event & Validations Request Form
Event Name
*
Event Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Start Time
*
AM
PM
AM/PM Option
End Time
*
AM
PM
AM/PM Option
Number of Attendees
Event Parking
Select the parking location(s) for your event
Lot K
Lot L
Lots M & P
PV Lot & Lot J (General Section)
West Campus
Shenandoah Parking Deck
Rappahannock Parking Deck (General Permit Section, Levels 1-2)
Winter & Spring Breaks/Summer Semester Discounted Rates
Lots K & L: Less Than 150 Attendees
Rows
# of Days Requested
Subtotal
Monday ($600)
Tuesday ($700)
Wednesday ($600)
Thursday ($700)
Friday ($500)
Saturday ($250)
Sunday ($250)
Total
Lots K & L: 150+ Attendees
Rows
# of Days Requested
Subtotal
Monday ($700)
Tuesday ($800)
Wednesday ($700)
Thursday ($800)
Friday ($500)
Saturday ($250)
Sunday ($250)
Total
Lot M
Rows
# of Days Requested
Subtotal
Friday ($250)
Saturday ($250)
Sunday ($250)
Total
Lots M & P
Rows
# of Days Requested
Subtotal
Monday ($250)
Tuesday ($250)
Wednesday ($250)
Thursday ($250)
Friday ($250)
Saturday ($250)
Sunday ($250)
Total
PV Lot & Lot J
Rows
# of Days Requested
Subtotal
Friday ($500)
Saturday ($250)
Sunday ($250)
Total
West Campus Lot
Rows
# of Days Requested
Subtotal
Less than 50 attendees ($50)
Less than 100 attendees ($100)
100+ attendees ($150)
Total
Shenandoah Parking Deck
Rows
# of Days Requested
Subtotal
Friday ($500)
Saturday ($500)
Sunday ($500)
Total
Rappahannock Parking Deck
Rows
# of Days Requested
Subtotal
Friday ($500)
Saturday ($250)
Sunday ($250)
Total
Break and Summer Discounted Rates
Rows
# of Days Requested
Subtotal
East Campus Surface Lots Weekday ($250)
East Campus Surface Lots Weekend ($125)
Lot P Monday-Sunday ($125)
Lot M Friday-Sunday ($125)
Shenandoah Parking Deck Friday-Sunday ($250)
Rappahannock Deck Monday-Thursday ($250)
Rappahannock Deck Friday-Sunday ($125)
Total
Parking Validations
Note: Mason Pond Parking Deck is temporarily unavailable due to ongoing construction.
Please select the parking deck
Please Select
Shenandoah Parking Deck
Rappahannock River Parking Deck
Enter 25Live reference number (if applicable)
Please check the box if you'd like to exchange your existing validations.
Yes, I would like to exchange my validations.
Start Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
End Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Validation Type
*
Please Select
Unlimited
Specified
Optional: Specify Parking Validation Hours (Check All That Apply)
1 Hour ($5)
2 Hours ($9)
3 Hours ($12)
4 Hours ($16)
5 Hours ($17)
All Day ($19)
Weekends ($10)
Parking Validations
Rows
Quantity
Subtotal
1 Hour ($5)
2 Hours ($9)
3 Hours ($12)
4 Hours ($16)
5 Hours ($17)
All Day ($19)
Weekends ($10)
Total
A code will be sent via email upon approval of the validation request. Code will be valid until the expiration date. Code may be changed upon request. Department is responsible for all charges incurred by use of their code. Department will be responsible for ensuring the security of the validation code and how it is distributed. I am placing this order with the understanding that there are no refunds available for validation usage. I attest that I am authorized to make this transaction.
*
By checking this box, I acknowledge that I understand and accept the above terms and conditions.
Daily & Weekly Virtual Permits
General Permit Areas
Rows
Quantity
Subtotal
Day Permit ($11.50)
Weekly Permit ($35)
Daily Evening ($8.50)
Total
Reserved Parking Space Request
Reserved Parking Space
Rows
# of Spaces
Subtotal
General Permit Space ($25)
Deck Visitor Space ($35)
Total
Note: Mason Pond Parking Deck is temporarily unavailable due to ongoing construction.
Parking Signs and Sign Holders
Parking Signs
Rows
Quantity
Subtotal
Black & White ($10 each)
Color ($20 each)
Total
Verbiage
Sign Holder Rentals
Rows
Quantity
Subtotal
A-Frame ($10 each)
Wind-Master ($20 each)
Total
Parking Staff Assistance
Total Parking Staff Needed
Rows
# of Parking Staff
Hours (Min. 4 hrs)
Subtotal
Hourly Rate $25
Contact Information
Validations must be picked up from the Parking Services Office unless other arrangements have been made.
Orders are processed and available for pickup within 48 hours between Monday - Thursday.
Credit cards are accepted in the Parking Services Office Only.
Name
*
First Name
Last Name
Department
*
Email
*
Phone
*
Format: (000) 000-0000.
Grand Total
Please select a payment method
*
Mason Org Code
Cash or Check
Credit Cards
Fund Code
*
Org Code
*
Activity Code
Please select a delivery method
*
Pick up in person
Deliver to an on-campus office (2-4 business days)
Receive unique code via email
Please insert mail stop #
*
Additional Comments
I am placing this order with the understanding that there are no refunds available for validations or permits. I attest that I am authorized to make this transaction.
*
I agree
Signature
*
Submit
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