Ambassador Claim Form

Ambassador Claim Form
First
Last
Address
Address
City
State/Province
Zip/Postal

Payout Account Information

Ohio Black Expo agrees to pay Ambassador a fee equal to $5.00 for each 2024 Ohio Black Expo Riverfront Culture Fest ticket purchased with the Promo Code listed above. Payment will be made via ACH to the account specified above upon receipt of this form. Payment will be reflected in the account within 3 business days. Ambassador takes full responsibility for ensuring that the routing and account numbers submitted are accurate. Ohio Black Expo is released from obligation to Ambassador once funds are disbursed to the account.

By checking the box below, Ambassador agrees to these terms.

Accept Terms