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2016 Sunburst Convention Video Order Form
Use this form to order your performance video(s). You will be invoiced for your video and it must be paid before delivery of the video.
This video will include opening and closing credits. It will be a one camera shot. We will an intro like "A Tribute To Tom Jones". Turn around time should be less than 2 weeks. We would suggest making it AGENT FRIENDLY, but we will do with it what you want.
Name: (First/ Last)
Address:
City, State, ZIP (required)
Be sure to include your zip code.
Celebrity You Portray:
Opening Credits Should Say:
Closing Credits Should Say:
Special Notes:
Email
Phone
###
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###
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Special Notes:
First Video
Please select
125.00
Day & Celebrity You Performed
Second Video
Please select
100.00
Special Notes:
Third Video
Please select
100.00
Day & Celebrity You Performed
Credit Card Number:
Expiration Date:
CSV Code:
Zip Code associated with this card:
Total
$0.00
