Request edit access
Patreon Song Request Form
IMPORTANT:
  • Please only submit ONE request per form entry. If you are on a request tier that allows more than one request, please complete the form once for each request.
  • If the request is for a previous month, please specify down in the Notes field.
  • Please do not request songs from games that Jesse has already confirmed he will be playing in the future. He will not be accepting these requests and will ask you to change them to a different game. 
    Click here to see the list of his upcoming games on his Backloggd account. 
Sign in to Google to save your progress. Learn more
Patreon Tier *
Only Patrons at the Request Tier 1 ($10/month) or higher may make requests. Please make sure you are eligible before completing this form!
Patreon Username *
Enter the username you use to sign into Patreon
Patreon Account Email *
Enter the email address associated with your Patreon account
Game *
Song Name *
Youtube Link *
Notes/Comments
(200 character limit)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report