Artist Payment Request

Name/Nombre *

To ensure your payment is processed, enter your name exactly how you want it to appear on your bill & payment.

First Name

Last Name

Address/Domicilio *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone/Telefono *

(###)

###

####

Date of Event/Fecha de Evento

MM

DD

YYYY

How do you prefer to be paid? / Que forma de pago prefieres? *

No longer using paypal. Please select one of the options below.

Zelle (email/phone number provided above will be used to transfer funds)

Check from Wells Fargo Bill Pay

Please donate this amount to Orquesta Northwest