Video Order Form

This form is not for the All American Quarter Horse Congress. Please visit www.nationalsportsbroadcasting.com/congress for placing Congress video orders.

Name*
First Last
Email*
Phone*
Address
Required if you are ordering a video that will require shipping.

Street Address Address Line 2 City State ZIP Code
Association*
Equestrian Video*
This is total number of rides you are requesting a video for.
Price: $35.00
Delivery Method*
- Online (YouTube)
- USB Thumb Drive (requires purchase $10)
Payment Method*
If your video order requires payment please indicate your preferred payment method. Please mail check made payable to National Sports Broadcasting, 4530 SW 52 Circle #110, Ocala, FL 34474
Message*
If ordering videos please be as specific as possible. Indicate what day you rode and what class you were in and if you recall please indicate a draw or back number of your horse. This will help us locate your video quicker.
Shipping
Price:
Total
$0.00
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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.

"*" indicates required fields

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.

Please enter a number greater than or equal to 1.

USB Thumb Drive*

Price:

Name Of Rider*

First Last

Arena*

Class Type*

Pattern Class

Rail Class

Speed Class

Class Name*

Date of Ride*

Draw# or Split#

Back Number*

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*

Only select "Cash or Check" if you are at the show and plan on paying the day you place an order online. Orders will not be processed until paid. Our booth is in the Celeste next to Shane Rux Photography.

Total

Contact Us

Name*
First Last
Email*
Phone*
Message*
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