Your Name*

Your Phone Number*

Your Email Address*

Company name or “Individual”*

Detail Location*

Detail Date*

Detail Start Time*

:

Detail End Time*

:

Number of Officers Requested*

Type of Job*

Traffic Control
Security

How many people are expected to attend this event?*

Will alcohol be served at this event?*

Yes
No

What will the officers be doing during the detail?*

Comments regarding your detail or to pass along to the officers:

Copy name, phone, email from above

Billing/Accounts Payable Contact Person*

Billing/Accounts Payable Phone Number*

Billing/Accounts Payable Email Address*

Billing /Accounts Payable Address*

Terms

Rates:

Officer - $45.00 per hour
Supervisor (SGT or Above) - $50.63 per hour

If more than four (4) officers are requested for the job, the fifth officer must be a supervisor.

There is a three (3) hour minimum for each Officer scheduled

Twenty Four (24) hours notice is required for all cancellations unless its an outdoor event then six (6) hours notice is required. Failure to cancel with proper notice will result in a three (3) hour minimum charged for each Officer scheduled.

I have read and understand the Terms of Agreement. I agree to abide by Colonial Heights rules, regulations and ordinances should my application be approved. Additionally, I will fulfill the requirements placed upon this application as expressed in the Terms of Agreement.

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Agree to Terms*

Check here to agree to the above terms

Payment Method*

Please select your preferred method of payment and then select the PROCEED TO BILLING button

Option 1: Please charge my credit card** for the amount of the estimated-invoice.
Option 2: I wish to prepay for this or a series of details. I understand my check, ACH or wire payment must be received at least 3 days prior to the start of the detail (or first detail if a series.)
Option 3: Please send me an invoice. Upon receipt of the invoice, I will pay with a check, credit card**, ACH or wire. To guarantee this payment, I am providing a valid credit card. If I do not pay the invoice by day 30, I agree that Extra Duty Solutions can charge my credit card for the invoice amount plus a 5% late fee (late fee will replace the +3%.)
Option 4: Please send me an invoice as we are a publicly traded company. This option is only available for public companies traded on a stock exchange or in an over-the-counter market. Ticker or stock symbol is required.

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Option 1

Option 1: Please charge my credit card** for the amount of the estimated-invoice.

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Option 2

Option 2: I wish to prepay for this or a series of details. I understand my check, ACH or wire payment must be received at least 3 days prior to the start of the detail (or first detail if a series.)

Hidden

Option 3

Option 3: Please send me an invoice. Upon receipt of the invoice, I will pay with a check, credit card**, ACH or wire. To guarantee this payment, I am providing a valid credit card. If I do not pay the invoice by day 30, I agree that Extra Duty Solutions can charge my credit card for the invoice amount plus a 5% late fee (late fee will replace the +3%.)

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Option 4

Option 4: Please send me an invoice as we are a publicly traded company. This option is only available for public companies traded on a stock exchange or in an over-the-counter market. Ticker or stock symbol is required.

Product Name

** Credit card charges are + 3%.

Colonial Heights Extra Duty Detail Application

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