VIDEO ORDER FORM
Name_________________________________________________
Phone_________________________________________________
School
Show 2009 “Just Dance”
DVD ______________________ x $30.00 = _______
-
Check # _________________
(make check payable to Kenny Nichols)
-
Instructor’s Name___________________________________
-
Day of Class_______________________________________
-
DVD’s will be distributed
by Instructor.
Send check and order form to:
Kenny Nichols
2520 Ruby Court
Shell Beach, CA 93449
Any
questions call Kenny at 471-0140 (leave message)
Thank
You!
