PayPal-Venmo Payment Form

PAYPAL / PAYMENT INFO

Please fill in the form below
Riders Name

First NameLast Name
Name of Person who owns PayPal Acct

First NameLast Name
Phone Number

Area CodePhone Number
I DO NOT HAVE PAYPAL PLEASE SEND ANOTHER WAY
E-mail of PayPal
VENMO HANDLE - IF NO PAYPAL
Last 4 digits of phone number associated with Venmo Type NONE if no Venmo
Last 4 of SS Number of PayPal Holder - should we need the full number we will email or txt you to provide.
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Special Notes about this PayPal when sending to it.
Signature of PayPal account owner. Please read info below before signing.

Buy signing you understand you will receive winnings for the rider listed under this PayPal - If a 1099 is generated it will go to the PayPal Acct Holder and to the address above. Any change in the PayPal address will have to be given to OTR for updating. We will continue to use the PayPal for this rider until otherwise noted. Please know it is your responsibility to turn in any earnings from any OTR show. If you win over $600 in a year you should complete a w9 and hand into the office.
Should be Empty:

PAYPAL / PAYMENT INFO