Matt Bailey DBA Videos for $20 7629 Dover Ridge Drive Blacklick, Ohio 43004

Video’s for $20 Order Form PURCHASER INFORMATION Date Name

Check #

Street address, City, ST, ZIP Code

Primary Email Address

Contact Phone Number

Secondary Email address

VIDEO LENGTH AND PRICE (please mark corresponding box)  1 MINUTE VIDEO -- $20  2 MINUTE VIDEO -- $30

 3 MINUTE VIDEO -- $40  4-5 MINUTE VIDEO -- $50

 OTHER explain_______________________

What kind of Video are you requesting? (please mark corresponding box)  Sports  Tribute

 Family  Wedding

 OTHER explain_______________________

Please describe what you would like to do with your video? Ideas? Style?

Please list any particular songs with singers that you want played with your video? SONG

SINGER

SONG

SINGER

Please write anything else I should know? (Specific jersey #’s, correct spelling of names, fav teams/players etc)

Signature_________________________________________________________________

DATE____________________________________

PLEASE ATTACHED A CHECK MADE OUT TO MATT BAILEY TO THIS COMPLETED FORM -- SEND TO THE ABOVE ADDRESS

Matt Bailey DBA Video FORM.pdf

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