Video Order Form

 

Place your order, once it's processed you will be notified of your total. At that time you can advise us of your method of payment. We accept Visa/MC via Phone, mail a check or you can just make payment at the video booth during the comp. NOTICE!! If you are dancing non-country Swing and/or Hustle please have us add those dances to the top of your order when you check in with us at the video booth. If dancing in more than one division you must fill out a form for each division.

Name

First

 Last
Address 1
Address 2
City State Zip
Home Phone
Work Phone
E-Mail
   
Competition 
Choose one Male FemaleCouple
UCWDC 
   
  Mark all that apply
   
Ft. Worth Shuffle Triple Step Polka
Nightclub Cha-Cha Waltz
2 Step EC Swing WC Swing
Solo Medley    
     
LD-Rise and Fall LD-Lilt LD-Smooth
LD-Cuban LD-Funky LD-Solo Medley
LD-ABC Dance  
     
Team-Line Team-Partner Team-Cabaret
Team-Spotlight Team-Solo Medley