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Congress
- Coliseum Arena
- Celeste Arena
Soccer
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Dance
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- Video Order Form

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Home
I4MX
Congress
- Coliseum Arena
- Celeste Arena
Soccer
About
- Client List
- Equipment
Production
Clients
Shop
Dance
Contact
- Video Order Form

Home
I4MX
Congress
- Coliseum Arena
- Celeste Arena
Soccer
About
- Client List
- Equipment
Production
Clients
Shop
Dance
Contact
- Video Order Form

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Congress Video Order

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

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