Questions? Contact: SmartParkvalidations@parking.com (503) 790-9302

Section 1: Merchant Information
Merchant Name
Merchant Address
Authorized Contact
Contact Email
Contact Phone

Section 2: Order Information
Use Description	Purchase Price Discount valid through June 2013	Quantity	Total Value
1 Hour   | $1.60	$1.50
2 Hours | $3.20	$3.00
3 Hours | $5.00	$4.50
4 Hours | $7.00	$6.00
To order validation tickets for more than 4 hours or for events please contact Central Parking at smartparkvalidations@parking.com
Order Total ($25 minimum purchase required)			$0.00

Section 3: Select Payment Option
Pay by check upon delivery (Make Checks Payable To: Central Parking) Send me an invoice payable by credit card or check