2019 Pop Warner Mid South Regional 1. Onsite DVD Price: $25.00 Quantity: 2. Edited Divisional DVD (with DVD Purchase) ($45 Package) Price: $20.00 Quantity: 3. Onsite DVD's (10 or more) (one form of payment) Price: Team Orders Quantity (10 or more)Please enter a number greater than or equal to 10.4. Onsite DVD/Edited Divisional DVD (15 or more) (one of form of payment) (one shipping address) *All team orders get an onsite flash drive off your individual team! Price: Team Orders Quantity (15 or more)Please enter a number greater than or equal to 15.Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Team Name Division Time of Performance Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name
