Dance

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. If ordering more than 1 video be sure to increase the quantity.

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
Congress Year*
Delivery Method*
Quantity*
Plesae indicate the number of videos you are ordering.
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. Also be sure to increast the quantity being ordered.
Payment Method*
Total
$0.00

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Congress Video Order Form

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