Event Signup


Event Date:
Event Title:
Event Cost: $
Event Description:
Event Instructions:

Contact Information:

*Indicates Required Fields
First Name*
Last Name:*
Address 1:*
Address 2:
City:*
State:*
Zip:*
Phone Number:*
Valid Email Address:*

Ticket Reservations:

*Number of Adult Tickets: *Number of Child Tickets:

Guest Information:

Full Name 1: Age: (optional)
Daytime Phone:

Full Name 2: Age: (optional)
Daytime Phone:

Full Name 3: Age: (optional)
Daytime Phone:

Full Name 4: Age: (optional)
Daytime Phone:

Full Name 5: Age: (optional)
Daytime Phone:

Full Name 6: Age: (optional)
Daytime Phone:

Full Name 7: Age: (optional)
Daytime Phone:

Full Name 8: Age: (optional)
Daytime Phone:

Additional Information:

    

Order Summary:

Item Description: Qty: Price: Total:
Adult Tickets
Child Tickets

Event Transportation Options:

Pickup at:
Security Code:* Please enter the code EXACTLY as it appears in the image below — it is case sensitive.
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By clicking submit, I understand that I am authorizing Platte Valley Bank to debit the account information I provided above for this event. Platte Valley Bank is committed to protecting your privacy, and uses a variety of security technologies and procedures to help protect your personal information from unauthorized access, use, or disclosure. Platte Valley Bank is not responsible for delayed departures or arrivals, loss, damage or injury to person or property, mechanical defects or substitutions. We have the right to make changes in the itinerary where deemed necessary. We have the right to refuse, accept or retain any person as a member of the tour or event. A receipt of this transaction is being sent to you at the email address you have provided. Please retain the following emailed receipt for your records.

  • Dearborn (816) 450-8719
  • Kansas City North – Barry Road (816) 587-8000
  • Liberty (816) 781-1288
  • Parkville (816) 746-7600
  • Platte City (816) 858-5400
  • Plattsburg (816) 930-2530
  • Smithville North (816) 532-9200
  • Smithville South (816) 532-0700

Standard Free Services
Free ATM/Debit Card
Free Monthly E-statement
Free Internet Banking
Free Internet Bill Pay (no charge if used monthly)
Free 24-Hour Telebanc 816-858-5000
Miscellaneous Fee Schedule
Cashier’s Check $5.00
Check Copy $1.00 per item
Coin Charge $0.05 per roll
Collection Fee $10.00 per item
Debit/ATM Card Replacement Fee $5.00
Dormant/Inactive Fee $10.00
International Check Deposit $10.00
Internet Bill Pay Inactive Fee $6.00 (Non-use 1 month)
Levy/Garnishment Fee: $25.00 per attachment
Money Order $3.00
Night Drop Key Replacement $5.00
Non-Sufficient Funds $30.00
Overdraft Sweep Protection $10.00
Research Fee $40.00 per hour
Return Deposited Item Fee $5.00
Returned Item Fee $30.00
Return Mail Fee $5.00
Safe Deposit Box Drilling Fee $100.00 per box
Safe Deposit Box Key Replacement $30.00 per key
Statement Copy $5.00 per statement
Stop Payment Fee $30.00
Wire - Domestic $25.00
Wire – International $40.00
Zipper Bag - Locking $10.00
Zipper Bag - Non-locking $5.00
Disclosures