Premiere for Kids  / Off Broadway Theater / Stage 2 Productions DVD ORDER FORM

Dvd's are $15.00 each and will be mailed to your home.  If you are using this form to order a DVD you must be prepared to pay for the DVD with a CREDIT CARD.  Be sure to fill out the form completely and hit the submit button at the bottom of the page ONLY ONCE.  Within 5 minutes you will receive a confirmation via email that we have received your DVD order.

Parent Name
Work Phone
Home Phone
E-mail

 

Address          

City
State              

Zip Code

 

Name of Child #1    
Age
Name of Child #2    
Age
Name of Child #3    
Age

 

Name of SHOW you are Ordering DVD for  

Type of Credit Card                 

Credit Card Number                  

Expiration MONTH on Card  

Expiration YEAR on Card