Bassnectar WeCycle Donation Registration
This form is for those who have become a ROLL MODEL with WeCycle, and would like to redeem their contribution for a Bassnectar Event in 2018 (non-festival). For every $100 donated to WeCycle, a donor can request one (1) floor ticket.

Bassnectar will match the first 50 ROLL MODELs, and together we will sponsor 100 local kids for an entire year of participation in Youth On W.H.E.E.L.S. (Work Ethic, Health, Environment, Economics, Leadership and Sustainability), including a bike, bike lessons, guidance, and meals.

Learn more about WeCycle at http://wecycleatlanta.org

Please note: New Years Eve 2017 tickets are not available for this fundraiser.
Email address *
Your first name *
Your answer
Your last name *
Your answer
Please post a screenshot of your donation confirmation on Facebook, Twitter, or Instagram (posts not stories!) and link to it here *
Your answer
Does your post... *
Required
How much did you donate? *
Would you like to redeem your ticket(s) for... *
Please note: you cannot redeem this donation for New Years Eve 2017!
Please check each box to say you understand the following... *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service