Enter the email that you use for your Patreon account. We will contact you through this email if we have any follow up questions!
Your answer
Backer level *
Your Patreon credits request *
Current name in credits *
Your name in the credits as they currently appear. If your name is not in the credits and you would like to be added, answer with "NONE".
Your answer
Desired name in credits *
The name that you would like to be in the credits. If you want to be taken OUT of the credits, answer with "NONE". Yes, this means nobody is allowed to change their credits name to NONE.
Your answer
Additional notes or context
Leave additional context or notes if you have a circumstance you need to explain (for example, having an issue with your payment processor for the month before release).
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of UC Riverside. Report Abuse