2012-2013 Special Event Venues Application - Chicago Park District

EVENT FEATURES (CONT.)SIGNAGE: Will your event require the use of any signage, banners, or other on-site promotional elements?No Yes Description:PORTABLE TOILETS, DUMPSTERS, FENCING, BARRICADES: Are you planning to erect, install, or use portable toilets, dumpsters, fencing,barricades, or other structures during your event? Please describe below, and attach an extra sheet if extra space is needed for details.No Yes Description:HOW DID YOU HEAR ABOUT PARK DISTRICT VENUES?How did you hear about this venue for private rentals?FORM OF PAYMENTPlease check the box or boxes below for payment of the non-refundable and non-transferable Application ee and Reservation DownPayment. Multiple forms of payment are allowed. Personal checks are not accepted.FOR PAYMENT BY CASH, MONEY ORDER OR CASHIER’S CHECK ONLYCASH:$,.MONEY ORDER:$,.CASHIER’S CHECK:$,.FOR PAYMENT BY CREDIT CARD ONLYPLEASE CHARGE MY (check one): VISA MASTERCARD DISCOVERAMERICAN EXPRESSCARDHOLDER’S NAME (print as it appears on card)ACCOUNT NUMBERAUTHORIZED SIGNATUREEXPIRATION DATEAMOUNT: $ ,.Chicago Park District Special Event Venues Application 15