DVD Order Form
The Dance Company
Saturday June 10, 2017
Clearfield Area High School – Clearfield, PA
Name____________________________________________________
Street
Address_____________________________________________
City, State, Zip_____________________________________________
Phone
(Day)____________________(Evening)___________________
Paradise Video Productions
is very proud to film your
dance recital
this year.
Paradise
Video will receive your orders by mailing the forms directly to the address below.
All orders will
be sent to your address above within 6 to 8 weeks following event.
DVD
(DVD-R format) - $35.00 each No. of copies______ @ $35.00 = total _______
Includes tax,
shipping & handling
PAYMENT: CASH__________
CHECK__________
Credit Card: Visa_______ MC_________ Disc__________

(Please make checks payable to Paradise
Video Productions)
Name on Card_________________________________________
Card Number__________________________________________

Expiration Date______________ Card Security Code____________

CARD SIGNATURE (required)______________________________________
Mail Order Forms to:
Paradise Video Productions
101 Cherry Road
Kersey, PA 15846
www.paradisevideopro.com
(814) 781-6361
Thank you for your order - shipping in 6-8 weeks