Kickback event application form
Kickback is currently closed beta. To apply to host your event on Kickback, please fill in this form. If you have never attended Kickback powered events, I suggest you read our guides on our website ( and our pricing guide ( first.
Email address *
Your Name *
Your answer
Organisation *
Your answer
Organisation URL
Your answer
Social (twitter/linkedin/telegram, etc)
Your answer
Name of your event
Your answer
How many people do you host the event for? *
How long is your event for? *
What is the format of your event? *
Enter the details of your upcoming events (dates, locations, etc) *
Your answer
Why are you interested in using Kickback (tick all that apply)? *
Do you agree with our pricing guide line ( )? *
Billing address (This is to send an invoice after the event)
Your answer
You ETH address/ENS name (This is to add you as an admin once the event page is created)
Your answer
Comments (if any)
Your answer
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