Dance America Videos
Personal Performance Order Form
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:  
$3
5 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 $3
5...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 $2
5ea
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.
Beverly & Michael Smith
Sue Wyche &
Froilan Mate
Lisa Fay &
Barry Durand
Linda & Mal Zerden
Tracy Gauthier &
Easterns J&J Leader
Connie Yesh &
Eddie Gooden
Just Hustle DC
Dance Team
Jennifer Sarajian-Stone
& Kenny Roesel
Joyce Szili's 14th
Hustle Anniversary
Vittoria & Guillermo
At Disco America 2010
Diane Quigley's
Birthday Memory
October 22, 2010
The Twin's 1st
Communion
May 15, 2011