DAV Competition/Personal Performance Video File/DVD Request Form
Event Name:  Promenade's Spring 2017 Showcase -  March 18, 2017
Please Print or Type
Performer's Name:
Email:
Phone Number:
Description of Performance(s):
Todays Date:
Video:
File
DVD
Name of Performance/
Comp (1):
$35
Day/Date of Comp:
Approx Time of Comp:
Competitor #:
Type of Dance:
Name of Partner (if known):
Comments:
Name of Comp (2):
$25
Day/Date of Comp:
Approx Time of Comp:
Competitor #:
Type of Dance:
Name of Partner (if known):
Comments:
Name of Comp (3):
$25
Day/Date of Comp:
Approx Time of Comp:
Competitor #:
Type of Dance:
Name of Partner (if known):
Comments:
Name of Comp (4):
$20
Day/Date of Comp:
Approx Time of Comp:
Competitor #:
Type of Dance:
Name of Partner (if known):
Comments:
Name of Comp (5):
$20
Day/Date of Comp:
Approx Time of Comp:
Competitor #:
Type of Dance:
Name of Partner (if known):
Comments:
Name of Comp (6):
$20
Day/Date of Comp:
Approx Time of Comp:
Competitor #:
Type of Dance:
Name of Partner (if known):
Comments:
Thank you for your order!
Dance America Videos
www.DanceAmericaVideos.com