You can always press Enter⏎ to continue
Tax Day Bash
Hi there, please fill out and submit this form.
START
1
Previous
Next
Submit
Press
Enter
2
Contact Name
*
This field is required.
Previous
Next
Submit
Press
Enter
3
Company or Organization?
*
This field is required.
Individual
Company
Organization
Previous
Next
Submit
Press
Enter
4
Name of Company or Organization
*
This field is required.
Previous
Next
Submit
Press
Enter
5
Phone Number
*
This field is required.
Please enter a valid phone number.
Previous
Next
Submit
Press
Enter
6
Email
*
This field is required.
In Case We Need to Correspond to You. And For Payment Receipt.
example@example.com
Previous
Next
Submit
Press
Enter
7
IRS Required
*
This field is required.
Employed
Self Employed
Retired
Previous
Next
Submit
Press
Enter
8
Name of Employer
*
This field is required.
IRS Part Two
Previous
Next
Submit
Press
Enter
9
Ways To Pay
*
This field is required.
Pay At The Door Cash Or Check
Pay AT The Door Credit Card
Pay Online
Previous
Next
Submit
Press
Enter
10
Tax Day Bash 2023
prev
next
( X )
My Bag
0
My Bag
Back to list
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
ORDER SUMMARY
Total cost
USD
$40 Band Only
No Meal Included
$
40.00
+
Remove
Edit
Back
1
2
3
4
5
6
7
8
9
10
1
1
2
3
4
5
6
7
8
9
10
Quantity
$75 Dinner & Band
$
75.00
+
Remove
Edit
Back
1
2
3
4
5
6
7
8
9
10
1
1
2
3
4
5
6
7
8
9
10
Quantity
Ad in Program
Business Card 2X3
$
35.00
+
Remove
Edit
Back
1
2
3
4
5
6
7
8
9
10
1
1
2
3
4
5
6
7
8
9
10
Quantity
Ad in Program
Half Page 3.5X5
$
50.00
+
Remove
Edit
Back
1
2
3
4
5
6
7
8
9
10
1
1
2
3
4
5
6
7
8
9
10
Quantity
Ad in Program
Full Page 8X5
$
100.00
+
Remove
Edit
Back
1
2
3
4
5
6
7
8
9
10
1
1
2
3
4
5
6
7
8
9
10
Quantity
$750 Abraham Lincoln Package
Table for 8 and signage
$
750.00
+
Remove
Edit
Back
$1,500 Benjamin Franklin Package
Table for 8, signage, complimentary beverages
$
1,500.00
+
Remove
Edit
Back
$2,500 William McKinley Package
Table for 8 or 9, signage, complimentary beverages, autographed photo of band
$
2,500.00
+
Remove
Edit
Back
$5,000 James Madison Package
Table for 8 or 9 with Special Guest, signage, complimentary beverages, autographed photo of band
$
5,000.00
+
Remove
Edit
Back
Payment Methods
Credit Card
First Name
Last Name
Google Pay
After submitting the form, you will be redirected to the Google Pay to complete the payment process.
Apple Pay
After submitting the form, you will be redirected to the Apple Pay to complete the payment.
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
10
See All
Go Back
Submit
