Tri-State 2019

Name*

Name of competitor

Man's Number*

Number only

Dress Color(s)*

Provide all colors

Dance Heats/priced per dance*

Provide all heat numbers for all days

Dance Heats-Wide Shot/priced per dance

Entire floor shot

Total Dances

TOTAL NUMBER of dances including all single and multi dances

ITEM#

CAM#

Cam Op

Dance Heats/priced per dance

Credit Card Details

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Cell Number*

Email Address*

example@example.com

Additional info

Please add any information we may need to know about you or any suggestions

All video files ready for pickup at the sales booth 30 minutes after your last event.

Please pickup all videos at the event, emailing no longer available, thanks!

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