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"  2009

Date: June 20 & 21, 2009     Event: "Giselle" & "Kaleidoscope of Dance" 2009

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 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
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