New Customer Registration Form

Galentine’s Day VIP Form
Customer Details:
Full Name*

First NameLast Name
E-mail*
example@example.com
VIP Ticket Includes: 10% off coupon (works with store promotions), a goodie bag & 2 extra entries into raffle *
I understand the VIP ticket is $10 and is non refundable *
I agree to send payment once form is filled out to one of the below platforms

Venmo: kaylarigoni98Cash app: $KaylaRigoni
Should be Empty:

Galentine’s Day VIP Form