2013 Illinois Marching

Band Championships
DVD/Blu-Ray Order Form
PLEASE PRINT NEATLY

Name____________________________________________________________________
Address___________________________________________________________________
City_______________________________________
State_________________Zip________________
Phone number (For questions about your order) _________________________________
E-mail address_____________________________________________________________
School____________________________________________________________________
________ DVD/$25
Quantity

________ Blue-Ray/$30
Quantity

Total $_______________

Return this form with payment to one of our booths at Memorial Stadium. Booths are located in the Great West Hall near the 50-yard
line and in the staging area just outside the stadiums south end zone. Payment by cash, check or charge is accepted.

RECEIPT
FPDVideo has received $____________ for _______DVD(s) _______Blu-Ray(s)

Allow 3-5 weeks for delivery

FPDV

Flushing Pheasant Digital Video

P.O. Box 371
Mahomet, IL 61853
(217) 586-1887
www.fpdvideo.com