Fairfax Campus Special Event & Validations Request Form
Event Name
*
Event Date
*
-
Month
-
Day
Year
Date
Start Time
*
AM
PM
AM/PM Option
End Time
*
AM
PM
AM/PM Option
Number of Attendees
Event Parking Exemption Request
Exempted Parking Area
Please Select
Lot L
Lot K
Shenandoah Parking Deck
Less Than 150 Attendees
# of Days Requested
Subtotal
Monday ($600)
Tuesday ($700)
Wednesday ($600)
Thursday ($700)
Friday ($500)
Saturday ($250)
Sunday ($250)
Total
150+ Attendees
# of Days Requested
Subtotal
Monday ($700)
Tuesday ($800)
Wednesday ($700)
Thursday ($800)
Friday ($500)
Saturday ($250)
Sunday ($250)
Total
Shenandoah Parking Deck
# of Days Requested
Subtotal
Friday ($500)
Saturday ($500)
Sunday ($500)
Total
Parking Validations
Please select the parking deck
Please Select
Mason Pond Parking Deck
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
Date
End Date
*
-
Month
-
Day
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
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
Quantity
Subtotal
Day Permit ($11.50)
Weekly Permit ($35)
Total
Reserved Parking Space Request
Reserved Parking Space
# of Spaces
Subtotal
General Permit Space ($25)
Deck Visitor Space ($35)
Total
Parking Signs and Sign Holders
Parking Signs
Quantity
Subtotal
Black & White ($10 each)
Color ($20 each)
Total
Verbiage
Sign Holder Rentals
Quantity
Subtotal
A-Frame ($10 each)
Wind-Master ($20 each)
Total
Parking Staff Assistance
Total Parking Staff Needed
# 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
*
Grand Total
Please select a payment method
*
Mason Org Code
Cash or Check
Credit Cards
Org 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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