Filmmaker payment info — The Disorder Collection

We’d like to pay you.

Please read all instructions below.

To send royalty payments under our licensing agreement, we use PayPal Payouts.

In order for you to receive your payment, you need to have a PayPal account.

Click here to sign up for PayPal.

Please note: in order for us to pay you we need the email address linked to your PayPal account.

Once you have a PayPal account, please fill out our webform below in order to claim your payment.

You should double-check that your account information is correct, since PayPal will not allow us to pay you without it.

If you have multiple PayPal accounts, please be certain to provide us the email address associated with the Licensor (the person or entity listed in paragraph 1 of the Licensing Agreement you signed with us.)

If we don’t hear from you within 30 days of us sending your payment to PayPal, the funds will be returned to us.

Name

First Name

Last Name

**This MUST be the email address associated with your PayPal account. If you have multiple PayPal accounts, please use the one linked to the Licensor (see below field.)

Film / Video Title(s)

If you have more than one film/video on our channel, please list only one. If you have a series, please enter the name of the series.

Licensor

Please be sure to provide the name in paragraph 1 of the licensing agreement you signed with us. If your name is Barbara Jones, but you signed the agreement under the name of your production company, Jones Media, or your nonprofit, Cure JY39K Disease, then use whatever entity is listed as "Licensor."

Have you emailed us your W9?

Yes

If you live outside the United States, in what country do you live?

We ask because we need to comply with all applicable tax laws.

I wish to forgo my payment and donate it back to Rare Outreach Coalition.

We plan to pool all donations and give them to a rare-disease organization that we select.

Yes