Have you already contracted an event at Middleburg Civic Association and would like to make a payment towards your venue rental? Venue Rental Payment Payments can only be made via this form IF you already have a signed contract with Middleburg Civic Association and your event date / venue is reserved. If you have not yet booked your event with the Civic Center, please do not make a payment via this web site. You must reserve your event date via the Rental Inquiry Form. If you are human, leave this field blank. Name * First Last * Last Email * Phone * Name of Event * (ie. Smith Wedding) Contracted Event Date * Payment Amount * Billing Address Billing Address Billing Address Billing Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Credit Card * Submit
