Company name or “Individual”*

Detail Location*

Detail Date*

Detail Start Time*

: HH

MM

Detail End Time*

: HH

MM

Number of Officers Requested*

Police Cruiser?*

Yes
No

What will the officers be doing during the detail?*

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

Billing/Accounts Payable Contact Person*

Billing/Accounts Payable Phone Number*

Billing/Accounts Payable Email Address*

Billing/Accounts Payable Address*

Terms

Rates:

$101.65 per officer hour

There is a 3 hour minimum per assigned officer and a 4 hour cancellation policy. Details must be scheduled for no less than 3 hours. Not canceling with at least 4 hour notice will result in the 3 hour minimum charge per assigned officer.

I have read and understand the Terms of Agreement. I agree to abide by Vineland 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.

Agree to Terms*

Check here to agree to the above terms

Payment Method*

Please select your preferred method of payment. If you select option 1 or 2, please proceed to billing and enter your credit card details. If you select option 3 or 4, please proceed to billing, select "check/ACH/wire" and follow the ensuing instructions.

Option 1: Please charge my credit card and send me an invoice marked “paid” after the detail ends.
Option 2: Please invoice me. I will pay with check, credit card, ACH or wire within 50 days of receiving the invoice. If I pay with credit card I understand there is a 5% convenience fee. If I do not pay the invoice by day 50, I understand my credit card will be charged for the invoice along with the 5% convenience fee on that day. A credit card is required to guarantee payment.
Option 3: I wish to prepay for this or a series of details. I understand my ACH, wire or check must be received at least 3 days prior to the start of the detail or first detail if a series.
Option 4: We are a publicly traded company and wish to be invoiced (this option is only available for publicly traded companies).

You selected payment option 1. Click "Proceed to Billing" and enter your credit card details. A credit card is required to guarantee payment.

You selected payment option 2. Click "Proceed to Billing" and enter your credit card details. A credit card is required to guarantee payment.

You selected payment option 3. Click proceed to billing and select "check/ACH/wire" below and follow the ensuing instructions.

You selected payment option 4. Click proceed to billing and select "check/ACH/wire" below and follow the ensuing instructions.

Product Name

Vineland Extra Duty Detail Application

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