Photo & Video Order Form

Festival Photo & Video Order

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Carl Sermon Photography & Video Order Form

Festival Name ____________ Year ______

Carl.Sermon@comcast.net

Tel 1-408-356-9473

Program Listed Dance Name ________________________________________

Video and Photos PHOTOS MP4/Quicktime

Performance Date/Time/Costume Style/Color ($40.00) ($40.00) Sub-totals

(1) ___________/______/_______/________________/_________/_________/_______________

(2 ) ___________/______/_______/________________/_______/__________/_______________

(3) ___________/______/_______/________________/_______/__________/_______________

TOTAL ____________________

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EMAIL _____________________________________________________

Confirm EMAIL _______________________________________________

First Name___________________________ Last name______________________________

Phone Number ____________________________