Payment Request Form
Fill out the below form if you have previously won money and would like to request your earnings be sent via Venmo, Paypal or USPS. Payments will not be sent out before Wednesday following the request and could take up to 48 hours. There will be a $2.00 charge per transaction that will be deducted from earnings. If multiple earnings are made from different classes only one transaction charge will be collected at that time.
Name of requester
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Name of person that won money - If you are requesting for someone else.
First Name
Last Name
Race, Date and class money was won.
*
Preferred payment option
*
Paypal
Venmo
Mail a check - you must fill out the below address section if this if preferred
Venmo
Paypal
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I agree that all of the above information is correct and authorize Level Up Productions to process a payment request.
*
I agree
Submit
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