Cheer & Dance National Championships – 2017

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Is your shipping address is different than your billing address?*
- Yes
- No
Shipping Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Squad Name*
Division*
Date of Performance*
MM slash DD slash YYYY
Time of Performance*

: Hours

Minutes

AM/PM
Edited Divisional DVD
Price:
Quantity
Please enter a number less than or equal to 19.
Edited Divisional DVD - Bulk Orders - 20-29 packages
Price:
(Minimum 20 Orders for Bulk)
One Payment | One Address
Quantity
Please enter a number from 20 to 29.
Edited Divisional DVD - Bulk Orders - 30+ packages
Price:
(Minimum 30 Orders for Bulk)
One Payment | One Address
Quantity
Please enter a number greater than or equal to 30.
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name