Video Recording Request Form

Please read the policies and procedures for billing information and charges for video orders.

Requests must be submitted a minimum of two weeks prior to your event. All fields in bold are required.

Customer Information
First Name:
Last Name:
Contact Phone:
Email address:
How do you wish to receive your order?	I will pick up the tape from the office myself. Please mail the video to me; I will pay the US Mail postage fee.
If you selected US Mail, please enter your shipping address:
In which format do you wish to receive this video?	VHS DVD
Requested Concert
Date of concert:
Event name:
Event Location (which concert hall):
Concert start time:
Concert end time (please estimate):
Additional information or special requests:
I agree to pay for my video recording no later than one week before the concert. I understand that my request will be met only depending on availability of T&MP resources. I have read and understand the policies for video recording and video orders.
Click here:	I agree.
*Enter code:

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