JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
AGust D Tier Confirmation Form
Please fill this form out if you have not received a tier at AGust D Chicago or California Cupsleeve event!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First + Last Name
*
Your answer
Which site did you purchase from?
*
Eventbrite
ourheartshakers.com
Required
Donation Tier Purchased (If multiples were purchased please say how many?)
*
Your answer
If you bought a Golden Soundcheck Shirt on Eventbrite please include your shirt size + Your Address.
Your answer
Did you receive your tier?
*
Yes, but something was missing
No
Required
What was missing? (Put N/A if nothing is missing)
Your answer
Thank you so much for all your support!!!
Please follow us on Twitter :)
https://twitter.com/ourheartshakers
Please follow us on Instagram :)
https://www.instagram.com/ourheartshakers/
Please follow us on TikTok :)
https://www.tiktok.com/@ourheartshakers?lang=en
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
