SciTech Campus Special Event 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
General Permit Area Enforcement Exemption Request
General Areas Enforcement Exemption
Rows
# of Days Requested
Subtotal
Less Than 125 Attendees
Monday-Friday ($425)
Saturday/Sunday ($125)
125 or More Attendees
Monday-Friday ($600)
Saturday/Sunday ($125)
Total
Daily & Weekly Virtual Permits
General Permit Areas
Rows
Quantity
Subtotal
Daily Permit ($8.50)
Weekly Permit ($35)
Total
Reserved Parking Space Request
Reserved Parking Space
Rows
# of Spaces
Subtotal
General Permit Space ($25)
Total
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
Requests are reviewed within 48 hours between Monday-Thursday.
Credit cards are accepted only in the Parking Services Office.
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
*
Mason Org Code
*
Activity Code
Additional Comments
I am placing this order with the understanding that there are no refunds available for permits. I attest that I am authorized to make this transaction.
*
I agree
Signature
*
Submit
Should be Empty: