Performance Payment Form

Name*

First Last

Phone*

Email*

Name or Description of Performance*

Performance Location*

Date of Performance*

Amount*

Would you like to cover the credit card processing fee? (2.9% + $0.30)*

Yes
No

Processing Fee

Price: $0.00

Total

$0.00

NOTICE: Once you click Submit, please do not close, refresh or click away from this page/form until it loads. You will be redirected to PayPal and will receive confirmation of your payment via email. If you do not get redirected and you do not receive a confirmation, that means your form did not go through. Thank you for making sure it loads before closing it.

Email

This field is for validation purposes and should be left unchanged.

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