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Bradley Hills Variety Show | Spout-Out Form
6
Questions
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1
Image Field
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2
Parent Name
*
This field is required.
First Name
Last Name
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3
Email
*
This field is required.
example@example.com
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4
Upload Photo
*
This field is required.
Please upload one photo for a ¼-page spout-out or up to two photos for a ½-page spout-out. Vertical images are recommended for ¼-page spout-outs. Accepted formats: .jpg, .jpeg, .png.
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Select files to upload
Max. file size
: 10.0MB
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5
Message for your Performer
*
This field is required.
Submit your spout-out text below. Include the performer’s name too, if desired. Word limits: 20 words (¼ page) or 30 words (½ page).
0/30
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6
Spout-Out Payment
*
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My Bag
0
My Bag
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Great Product Name
$20
Quantity:
1
Size:
Small
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Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
ORDER SUMMARY
Total cost
USD
1/4 Page Spout-Out
$
25.00
+
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1/2 Page Spout-Out
$
50.00
+
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Credit Card
First Name
Last Name
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