Home Bout Shout Out Purchase
Please enter the information below to purchase a program booklet shout out!

DEADLINE FOR BOUT 3 = FRIDAY, JULY 20
DEADLINE FOR BOUT 4 = FRIDAY, AUGUST 3


Ads must be prepaid before they will print. Unfortunately, we cannot accept cash or checks at this time. An option to enter your PayPal email will be provided below and an invoice will be sent to the email you provide there.

Email address *
Your Name *
Your answer
Phone *
Your answer
Shout Out to Skater... *
Please indicate which skater (by real name or derby name) you would like to shout out.
Your answer
Message *
Please write out your message to the skater. Limit 25 words.
Your answer
Would you like us to provide their headshot or would you like to provide a different photo? *
If you want to provide a photo, you must email that photo to "dcrdcreative@gmail.com" with subject "Home Bout Shout Out" AFTER you've completed this form.
Is it ok to text a proof of your ad? *
Ads must be prepaid before they will print. Please type the email you use for PayPal to pay online. *
You may type "same" if the email address is the same as above. We cannot accept cash or checks at this time.
Your answer
Additional Notes, Comments, or Questions:
Your answer
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