Five Star Media Video/Photo Package Purchase Form

Five Star Media Video/Photo Package Purchase Form
ONLY USE THIS FORM IF YOU ARE PURCHASING THE VIDEO & PHOTO PACKAGE
Please DO NOT use this form to order videos & Photos unless you have a finalised program with correct Act Numbers, as we use these Act Numbers when videoing routines.
Competition - SOLOS, DUOS, TRIOS & TROUPES
BEFORE YOU START!

If you are ordering Photos or Videos for Valley to Coast Eisteddfod

If you are not sure of the Section Number or Act Number, download the Solo Only Program from the link below.
PERFORMER NAME
STUDIO or SCHOOL NAME
Email
example@example.com
Phone Number
Where will we send your videos?
Number of Videos/Photos Required
If at all unsure please type all relevant information.
SECTION
ACT NO.
SECTION
ACT NO.
SECTION
ACT NO.
SECTION
ACT NO.
SECTION
ACT NO.
SECTION
ACT NO.
SECTION
ACT NO.
SECTION
ACT NO.
SECTION
ACT NO.
SECTION
ACT NO.
SECTION
ACT NO.
SECTION
ACT NO.
SECTION
ACT NO.
SECTION
ACT NO.
SECTION
ACT NO.
SECTION
ACT NO.
SECTION
ACT NO.
SECTION
ACT NO.
SECTION
ACT NO.
SECTION
ACT NO.
Video/Photo Routine Cost
Total Video/Photo Package Cost

prevnext( X )
AUDDescription
PLEASE NOTE

PayPal transactions on your statements will be payments to Nigel Jones.

If you wish to pay by card click on PayPal and at the bottom of the next screen it will say Pay by Card.
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty: