EMPIRE 2018 VIDEO ORDER FORM
CELL PHONE NUMBER
DANCE ORDER INFORMATION
Please make your number visible to the camera's. If dancing with multiple partners must submit 2 order forms.
Please give us your dress color/description. If multiple dresses, please specify.
USE SEMICOLONS to separate your heat numbers. Specify if the heat is Quarters, Semi, Final, Pro Heat or a Solo. If order is NOT specified all call backs will be recorded. All Sales Final.
CHOOSE YOUR FORMAT
In what format do you want your video delivered?
USB Thumb Drive - HD Quality (+$15)
Email - HD Quality (Emailed approx 5 days after event +$15)
Brought personal SD Card, or USB
Please select the category for your order. Select all that applies.
Preteen ($15) Ages 13-17
Junior ($10) Ages 12 and under
Please double check all of your information is correct.
Cash payment is also available.
Credit Card #
All Callbacks $15
I understand that by placing this order, I agree to charges from TV Dance. I also understand TV DANCE is NOT RESPONSIBLE FOR HEATS ENTERED INCORRECTLY OR MISSED DUE TO BEING COMBINED OR MOVED FROM ORDER.
You are all set! All orders are processed in the order they are received. We will TEXT you when your order is ready. Thank you!
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