Personal Performance Order Form

Dance America Videos

Your Name:

Address:

City:

State:

ZIP Code:

Phone
Number:

Email
Address:

Name(s) of
Performer(s)

Name of
Dance Studio:

NAME/DATE of
Event/Performance:

Type of Dance(s)
Performed:

Name of YOUR
Dance Partner:

Number of Dances

PersonalPerformance DVD Cost:
$35 for 1 Dance; $25ea for the next
2 Dances & $20 for each Additional
Dance on the Same DVD/File

Amount Due:

Total Number of
.wmv/.mpg Files:

Amount Due:

Shipping &
Handling

Total Amount Due:

Please complete and print this form, enclose/attach your
check or money order (payable to Dance America Videos)
for the appropriate amount, and mail to:

Dance America Videos
Attn: Ralph Johnson
416 James Court
Falls Church, VA 22046

IMPORTANT! So that we may begin processing your
Personal Performance order immediately
(prior to receiving your mailed order and check)
Please click the 'Submit' button below.

You will receive confirmation of your order by email.

Thank you for your order!

Comments:

Beverly & Michael Smith
At The Promenade
March 23, 2012

Beverly & Michael Smith
At The Promenade
March 25, 2010

Beverly & Peter Tam
At The Promenade
March 26, 2010

MDC 2011 Higlights
March 25-27, 2011

YuYu Sugawara &
Sam Arvidson ProPro
MDC March 26,2011

Latin Formation Team
At The Promenade
March 24, 2012

Kevin Fischer & Ann Basso
At The Promenade
March 24, 2012

SalsaNow Team At
The Promenade
March 23, 2012

Just Hustle DC Team
MDC March 30, 2012

Camilla Ng
Argentina 5/19/2012

Donna Hennessy
DA2012 6/8&9/2012

Victoria Bakhima
Argentina 5/19/2012

Donna Hennessy
DA2012 6/8&9/2012

Brian Gallagher
DA2012 6/8/2012

Brian Gallagher
DA2012 6/9/2012

Karen Capra
DA2012 6/8&9/2012

Jack Ciecka at Disco
America 2012
June 8 & 9, 2012

Lisa Almeida at
Disco America 2012
June 8 & 9, 2012

Debbie Lynn Tuttle
at MADjam 2013
March 1, 2013

Debbie Lynn Tuttle
at MADjam 2013
March 2, 2013

Personal Performance Order Form

In addition to Event Video/DVD sets, we also offer Personal Performance/Memory Videos/DVDs/.wmv/mpg
files of just YOUR dance/performance(s) in Showcase events and in some competitions in other events that we
may Video and edit. DAV can also put your Performance on YouTube!

The cost of your Personal Performance Video/DVD is $35 for the first dance $25 for the next 2 dances, and $20
for each additional dance in a single event. The DVD will be labeled with a photo of you taken during your
performance(s). If you request a video of more than one Personal Performance at the same event click here

Promenade Spring/Fall Event Showcase Personal Performance orders will be delivered to The Promenade
unless special mailing/delivery arrangements are made at the time of the order. There is a $8.00 Shipping &
Handling charge for Event and Personal Performance DVD orders received 2 weeks or more after The
Promenade's latest event date(s) and the cost of a Promenade event DVD is $35.

The cost for a ".wmv file" of a Personal Performance is $35...if that is all you want....However, if you order a
Personal Performance DVD PLUS a .wmv file of the performance, the cost of the .wmv file would be just $25ea
for the next 2 performances and $20 for each additional performance. Personal Performance .wmv files will be
delivered via email. There are no Shipping & Handling charges for .wmv file purchases. There is a $15 charge to
place your .mpg/.wmv./.AVI files of your Performance on YouTube.

Please Note: A .wmv (Windows Media Video) file of your performance is small enough to send as an email
attachment...and can also be uploaded to YouTube. However, because of its small/compressed size, the .wmv file
does not have the quality of a Personal Performance DVD or an mpeg2 (.mpg) file.