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Special Event Permit Application

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CITY OF GOODYEAR EVENT APPLICATION
** Application Due at least 21 Days Prior to the Event Date **

Beginning July 1, 2010, Special Event Permit applications submitted must include a non-waivable Application Fee. The amount of the Application Fee is determined by the event size. Application Fees are listed below.

Small Event (less that 50 people participating)= $20 non-waivable & non-refundable fee
Medium Events (50 to 200 people participating)= $40 non-waivable & non-refundable fee
Large Events (more than 200 people participating)= $80 non-waivable & non-refundable fee


EVENT
PLEASE NOTE: Applications will not be processed until the Application Fee is received.
If paying by credit card, someone from the City Clerk's Office will contact you to provide this information over the phone. Thank you.
* Cash payments should be brought to: City Clerk, Goodyear City Hall, 190 N. Litchfield Rd., Goodyear, AZ 85338
** Payment by check may be made in person or mailed to: City Clerk, Goodyear City Hall, 190 N. Litchfield Rd., Goodyear, AZ 85338
***Payment by credit card may be made over the phone by calling 623-882-7830 or in person: City Clerk, Goodyear City Hall, 190 N Litchfield Rd, Goodyear, AZ 85338

APPLICANT
*** The applicant agrees to abide by or comply with all conditions of the applicable permit. ***

EVENT CONTACT (if other than Applicant)

SPONSORING ORGANIZATION
* If you will be requesting a waiver of any additional fees that may be incurred as a result of this event, please provide a copy of a 501(c) certificate from your organization (or the organization benefitting from this event), along with a letter explaining why the request for a fee waiver is being made. Please keep in mind that each request will be considered based on the current availability of funds in the City's budget for fee waivers, regardless of whether a waiver was granted for your event in the past.

DATE(S), LOCATIONS, SERVICES
Times:

LIQUOR

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Tax Numbers must be supplied if liquor or any items are sold, or admission is charged. Please enter the numbers below if applicable.


MULTIPLE VENDORS: If multiple vendors are involved in the event, please attach a list that includes the name, address, phone number, description of activity, and the Arizona sales tax number for each vendor. Failure to provide this information may result in their being prohibited from participating in the event. NO OWNER/OPERATOR/VENDOR CAN PERMIT OR MAKE SALES ACTIVITIES WITHOUT THE REQUIRED TAX LICENSE.

DESCRIPTION AND MAGNITUDE

SITE MAP

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INSURANCE COVERAGE

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DISCLAIMER: The Application Fee covers the administrative costs associated with processing this application. The fee is non-refundable and is not eligible for waiver. Please keep in mind that this event may bring about additional City fees as a result of services required by other City Departments.

For Office Use Only:

Acct# ___________________________________________ Check# ___________________ Fee: $_____________

____ American Express ____ Discover ____ MasterCard ____ Visa

Name on Card (if different from applicant):___________________________________________________________

Card#:_________________________________ Conf#:________________ Exp Date:____/______ Security Code:___________

 
* indicates required fields.
 
        

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City of Goodyear • 190 N. Litchfield Road • Goodyear AZ 85338 • Phone 623-932-3910 • Toll-Free 1-800-872-1749