Print this page and mail along with check in the proper amount to:
James Christaldi
409 Sunny Hill Lane
Broomall, PA. 19008
Please make all checks payable to:
JAMES CHRISTALDI
ORDER FORM FOR : "The Parkside Academy of Music & Dance" 2008
Date: June 13, 14 & 15, 2008 Event: "Coppelia" & "Dancing On Air" 2008
Customer Name: ________________________________________________________
Street Address: _________________________________________________________
City: _________________________________ State: __________ Zip: _____________
Phone: ________________________________
COST OF DVD IS $42.50
THIS INCLUDES SHIPPING & HANDLING
(Please indicate the show(s) that you are ordering below with the number of copies you want for each show).
_______ I am ordering the Friday Night Show
_______ I am ordering the Saturday Night Show
_______ I am ordering the Sunday 1:00PM Show
_______ I am ordering the Sunday 4:30PM Show
NUMBER OF DVDs ORDERED: ______
TOTAL PRICE INCLUDED: _______________ CHECK NUMBER: _______________
MAIL TO:
James Christaldi
409 Sunny Hill Lane
Broomall, PA. 19008
