DVD Order Form

• Every student at theatre e3 receives ONE keepsake DVD of the final performance from Virgo Visions.

• Please complete the form below to ensure accurate delivery of your DVD.

• Additional DVDs may also be ordered using this form. If ordering additional DVDs, please send check of $25 per additional DVD made payable to Virgo Visions to

Virgo Visions, 4700 Beard Avenue South, Minneapolis, MN 55410.

• You will receive a confirmation email once we have processed your order.

* required field

Student Information

*Student's First Name: *Last Name:

Parent Information

*Parent's Full Name:

*Street Address:
*City: *State: *Zip :

*Primary Phone: Secondary Phone:

*Email: (Required to confirm receipt of your registration)

Additional DVDs

Quantity:

Total:

(Additional DVDs are $25 each)

Comments/Requests:

or

 

 

 

© 2006 theatre e3
The contents of these pages cannot be used without permssion from theatre e3
theatre e3 is a non-profit organization

Last modified June 12, 2006