Congress Video Order

Congress Video Order Form

Name of person Placing Order*
First Last
Phone*
Email*

For the online choice this is the email address your video link will be sent to.
Address
Required if you are ordering a video that will require shipping (USB)
Street Address Address Line 2 City State ZIP Code
Delivery Method*
Quantity*
USB Thumb Drive*
Price: $10.00
Name Of Rider*
First Last
Arena*
Class Type*
- Pattern Class
- Rail Class
- Speed Class
Class Name*
Date of Ride*
Date Format: MM slash DD slash YYYY
Back Number*
Draw# or Set#
Additional Comments
If ordering more than 1 run at a time please be specific here. Include the Date, Name of Rider, Back #, Draw #, Arena or anything else that may help us identify the correct ride.
Payment Method*
Total
$0.00

Congress Video Order Form

If ordering more than one video please be as descriptive as possible in the comment section including the date of ride, arena, class, and name of rider. All Sales Are Final. No Refunds.

Name of person Placing Order*
First Last
Phone*
Email*

For the online choice this is the email address your video link will be sent to.
Address
Required if you are ordering a video that will require shipping (USB)
Street Address Address Line 2 City State ZIP Code
Delivery Method*
Quantity*
USB Thumb Drive*
Price: $10.00
Name Of Rider*
First Last
Arena*
Class Type*
- Pattern Class
- Rail Class
- Speed Class
Class Name*
Date of Ride*
Date Format: MM slash DD slash YYYY
Back Number*
Draw# or Set#
Additional Comments
If ordering more than 1 run at a time please be specific here. Include the Date, Name of Rider, Back #, Draw #, Arena or anything else that may help us identify the correct ride.
Payment Method*
Total
$0.00

Contact Us

Name*
First Last
Email*
Phone*
Message*
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Congress Video Order Form

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Congress Video Order Form