Secure Online Payment Form - Paragon Festivals

Billing Information

Name *

First

Last

Company Name *

Billing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Mobile

Email *

Special notes or requests

Festival Information

Type of Festival *

Music Festival
Art Show

What type of payment are you making? *

Full Reservation Payment
50% Deposit or Balance Reservation Payment
Additional Payments or Fees
Sponsor Payment

Balance payments must be paid by the show payment deadline. Custom payments should only be made upon request from Paragon staff.

Booth Space Size: *

Single Space
Double Space

Please select the size of the booth you would like to reserve.

Choose your event: *

Choose your event: (Full Payment, Single Space) *

Choose your event: (50% Deposit/Balance, Single Space)

Choose your event: (Full Payment, Double Space) *

Choose your event: (50% Deposit/Balance, Double Space) *

Additional Music Festival Options

Music Festival Corner Fee - $50.00
Electric Fee - $100.00
Late Payment Fee - $50.00

Additional Art Festival Options

Art Festival Corner Fee - $100.00
Late Payment Fee - $50.00

Sponsor Payment Amount

Please enter the payment amount to be charged. Custom payments should only be made at the request of Paragon Festival staff.

Payment Information

Total Amount

$0.00

This is the total amount being charged to your card today. Please double-check the options above to ensure accuracy about booth sizes or other options selected.

Authorize.Net *

Card Number

Expiration

/

Security Code

This payment authorization is for booth space described above, for the amount indicated above only, and is valid for one time use only. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company; so long as the transaction corresponds to the terms indicated in this form.