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

MAIL A CHECKI WILL PICK UP AT NEXT SHOWUSE VENMO
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. *

Clear
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