Purchase Permits

Purchase Parking Permits

Permits valid 9/1/2021 through 8/31/2022

HIDDEN CONTROL FIELDS
Current permitting year start date

Month Day Year
This must be updated every year after general sales closes for the prior year to Sept 1 of the current year.
Lot Pricing - Full Year - Each

These fields should be manually adjusted whenever the lot prices change, by editing the "Default Value" in the field's properties. Do not enter a dollar ($) sign; just enter the number.
Lot 2 - Full Year - Each
Lot 3 - Full Year - Each
Lot 4 - Full Year - Each
Lot 5 - Full Year - Each
Lot 6 - Full Year - Each
Lot 7 - Full Year - Each
Lot 9 - Full Year - Each
Lot 10 - Full Year - Each
For future use
Lot 11 - Full Year - Each
For future use
Lot 12 - Full Year - Each
For future use
General Logistics

These fields will fill based on other data and should not be manually adjusted.
Customer Number
Defaults from hyperlink
User
Defaults to Customer, unless a hyperlink changes it. (If it shows as Customer, Customer-specific elements will show on the form (such as credit card payment). If it shows as anything else, non-Customer elements will show, such as manually inputting Check or Cash payment.)
Current form function
Used for the 2018-2019 permitting year. Can be deleted after 2019-2020 general sales year closes.
Permitting Year (yyyy-yyyy)
This field was used for the 2018-2019 permitting year and is needed for those records. It can be deleted after the 2019-2020 General Sales year closes, as it is no longer used.
Show Inventory for
Public or Residents
Invoice Due Date
Will automatically calculate when the form generates; used for invoice transactions only.
Total Payment Received
Offline Payment Method
Revised by condition for check/cash payments if they aren't mixed; blanked when an online customer payment
Customer Name
Determined by condition based on entries made on form; used for submission PDF documents
Used for Post-Submission Communications

Auto Reply Emails, Invoices, Receipts and Cover Letters
Address block for cover letter:
{customerName}

Attn: {mailTo}

{mailingAddress}
If Clings were ordered
Congratulations on your decision to order clings, as this will allow you to transfer your permit(s) from one vehicle to another if necessary. To attach your permit sticker to its cling, peel the sticker from its backing and then center on and affix to the unpeeled cling. After the sticker is attached to the cling, peel the cling from its backing and carefully press the peeled side to the interior of your back window on the driver’s side. The front of your permit now shows through the cling and through your vehicle’s window.
If Clings were not ordered
We notice that you didn’t request cling(s). Unless you have your own cling source, you will have to affix your permit sticker directly to the inside of your rear window on the driver’s side.
Permit Affix Instructions
Conditions will insert either the text from either 'If Clings were ordered' or 'If clings were not ordered' above.
Pro-Rata Calculation

These fields are calculated and should not be adjusted, except by Developer.
Sale Date: Serial #
Percent of year remaining
Expressed as a Decimal
Last day for full-price permits: Serial #
Pro-ration starts the next day
Pro-Rata Multiplier
Pro-Rated Percentage
The Pro-Rated Multiplier, expressed as a percentage (for readability, not for calculations)
Pro-Rated Discount Percent
100% minus the Pro-Rated Percentage (for readability, not for calculations)
Lot Quantity Selected

Automatically calculated; do not attempt to manually adjust.
Lot 2 Qty
Lot 3 Qty
Lot 4 Qty
Lot 5 Qty
Lot 6 Qty
Lot 7 Qty
Lot 9 Qty
Lot 10 Qty
Lot 11 Qty
Lot 12 Qty
Total Quantity - All Lots
Lot Pricing - Prorated - Each

Based on current month; automatically calculated; do not attempt to manually adjust.
Lot 2 - Prorated - Each
Lot 3 - Prorated - Each
Lot 4 - Prorated - Each
Lot 5 - Prorated - Each
Lot 6 - Prorated - Each
Lot 7 - Prorated - Each
Lot 9 - Prorated - Each
Lot 10 - Prorated - Each
Lot 11 - Prorated - Each
Lot 12 - Prorated - Each
Lot Cost - Total

Prorated; Based on quantity chosen; automatically calculated; do not attempt to manually adjust.
Lot 2 - Prorated - Total
Lot 3 - Prorated - Total
Lot 4 - Prorated - Total
Lot 5 - Prorated - Total
Lot 6 - Prorated - Total
Lot 7 - Prorated - Total
Lot 9 - Prorated - Total
Lot 10 - Prorated - Total
Lot 11 - Prorated - Total
Lot 12 - Prorated - Total
Totals
Total Pro-Rated Cost - combined for all lots ($)
Total Cost with Clings and Fees

Your Basic Information
Your information has been pre-populated from our records. Please review all details and make any needed corrections in this section.
Date of Sale

Month Day Year
Used for determining pro-ration and the invoice due date. Do not change unless recording a previous sale.
I am a: *
I am a

{customer_type}
Tell us who you are, since you don't live or work downtown *
Name *

First Name Last Name
Email *
example@example.com
If Customer doesn't have an email address only:

Customer does not have email
Daytime Phone Number *
Business Name *
Your downtown street address *

Bemidji, MN 56601

Street Address Line 2
Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Mail to the Attention Of

Review this map and pricing list below and then select your permits on the next tab.
Annual Permit Rates

Permits are valid from September 1 to August 31. Permits purchased after October 31 will be pro-rated based on how much longer they are valid.

Lot 2: ${lot2_FY} per year

Lot 3: ${lot3_FY} per year

Lot 4: ${lot4_FY} per year

Lot 5: ${lot5_FY} per year

Lot 6: ${lot6_FY} per year

Lot 7: ${lot7_FY} per year

Lot 9: ${lot9_FY} per year
Permit Rates

Permits are valid from September 1 to August 31. Since permits that you purchase today will only be good through the end of August, we are pro-rating your cost, based on how much time remains before they expire. (For example, permits purchased on March 1 are discounted fifty percent.)

Today's Date: {dateOf}

Percent of Year Remaining: {proratedPercentage}%

Today's Discount: {proratedDiscount214}%

Lot 2: ${lot2_FY} per year. Current Cost: ${lot2_PR_each}

Lot 3: ${lot3_FY} per year. Current Cost: ${lot3_PR_each}

Lot 4: ${lot4_FY} per year. Current Cost: ${lot4_PR_each}

Lot 5: ${lot5_FY} per year.  Current Cost: ${lot5_PR_each}

Lot 6: ${lot6_FY} per year.  Current Cost: ${lot6_PR_each}

Lot 7: ${lot7_FY} per year.  Current Cost: ${lot7_PR_each}

Lot 9: ${lot9_FY} per year.  Current Cost: ${lot9_PR_each}

Selecting your Permit(s)

Select desired permit quantity(s) for lot(s) below. After you have selected at least one permit, a summary will display further below. Keep in mind that availability may be more limited in some lots than in others. In order to provide fair access to our more popular lots, we may limit the quantity available per customer or business.
Showing inventory for: {showInventory}

Inventory for Public
Lot 2 (P): Enter a Quantity
Lot 3 (P): Enter a Quantity
Lot 4 (P): Enter a Quantity
Lot 5 (P): Enter a Quantity
Lot 6 (P): Enter a Quantity
Lot 7 (P): Enter a Quantity
Lot 9 (P): Enter a Quantity
Lot 10 (P): Enter a Quantity
Lot 11 (P): Enter a Quantity
Lot 12 (P): Enter a Quantity

Inventory for Residents
Lot 2 (R): Enter a Quantity
Lot 3 (R): Enter a Quantity
Lot 4 (R): Enter a Quantity
Lot 5 (R): Enter a Quantity
Lot 6 (R): Enter a Quantity
Lot 7 (R): Enter a Quantity
Lot 9 (R): Enter a Quantity
Lot 10 (R): Enter a Quantity
Lot 11 (R): Enter a Quantity
Lot 12 (R): Enter a Quantity

Permit(s) You Selected:

Lot	Quantity	Price Each	Total Cost
2	{lot2Qty}	${lot2_PR_each}	${lot2_PR_total}
3	{lot3Qty}	${lot3_PR_each}	${lot3_PR_total}
4	{lot4Qty}	${lot4_PR_each}	${lot4_PR_total}
5	{lot5Qty}	${lot5_PR_each}	${lot5_PR_total}
6	{lot6Qty}	${lot6_PR_each}	${lot6_PR_total}
7	{lot7Qty}	${lot7_PR_each}	${lot7_PR_total}
9	{lot9Qty}	${lot9_PR_each}	${lot9_PR_total}
Total	{Total_Qty}		${Total_PR}

Would you like clings for your permits? *
Clings cost $1 each. We strongly encourage you to buy clings for each of your permits. If you apply your permit directly to your car window without using a cling, it will be impossible to move from vehicle to vehicle and you will have to scrape it off at the end of the year. Clings allow you to easily move your permit from one vehicle to another. You will stick your permit directly to the cling; so you will need one cling per permit purchased.
Number of Clings Desired *
OOPS! You cannot select less than zero clings!

You haven't selected anything to pay for yet.
Transaction Type:

Post customer's payment for permits received Issue invoice for permits received

Credit/Debit Card Payment

Amount to Charge

USD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Check/Cash Payment
Total Amount Due: ${totalCost}
Number of Payments Received
Payment #1
Type
Amount *
Check # *
Payment #2
Type
Amount *
Check # *
Payment #3
Type
Amount *
Check # *
Total Payment Due: ${totalCost}

Total Payment Received: ${totalPayment}
INVALID PAYMENT: The payment you have received does not match the amount due.
Payment Received via *

All Offline Purchases
Permits Sold By *

First Name Last Name
Permit Delivery Method
The customer will receive a receipt sent to {email}.

Optional: If they also want you to print them a receipt now, enter your email address below so that you will receive a copy of their receipt to print for them. Or if the customer wants a receipt sent to an additional email address, you can enter that email address here.
The customer will receive an invoice sent to {email}.

Optional: If they also want you to print them an invoice now, enter your email address below so that you will receive a copy of their invoice to print for them. Or if the customer wants an invoice sent to an additional email address, you can enter that email address here.
Since the customer does not have an email address, enter your email address below so that you will receive an emailed receipt to print for them:
Send Copy of Receipt Email To
example@example.com
OOPS! You cannot enter the same email address twice!

The customer is already receiving an email receipt at {email}, because you entered that address in the first tab. Please leave this second email blank, unless you want the receipt sent to another email address as well.
Optional Comments
Optional

When Editing a Submission
IMPORTANT: A credit or debit card payment has already been posted for this transaction. If you are voiding the transaction or changing the total payment due, doing so will not alter or refund the payment already posted. If you need to void or decrease the payment amount, you must also post a full or partial refund via the Stripe online portal to match what you do here. It is never acceptable to increase the payment due, as we would have no way to collect the additional funds via this transaction; instead you would need to begin a new transaction.
Do you understand and agree to the above alert? *

I understand and agree
Submission Edit Notes *
This field is only visible when editing a previous submission and is used to comment regarding the edit.

Bottom Section
Should be Empty:

	Qty	Cost
Permits	{Total_Qty}	${Total_PR}
Clings	{ClingsQty}	${ClingsQty}
Total		${totalCost}

Purchase Parking Permits

Lot Pricing - Full Year - Each

General Logistics

Used for Post-Submission Communications

Pro-Rata Calculation

Lot Quantity Selected

Lot Pricing - Prorated - Each

Lot Cost - Total

Totals