Video Order Form

Video Order Form

Canned Heat

Sue Hewitt Dance Studio

Video Produced by

Cam-Ron Video Productions

Name_____________________________________________

Address___________________________________________

City_______________________________________________

Zip Code_________________Phone (      )________________

Blue-ray cost is $35 (Hi Def)     Quantity ____X $35.00

DVD Cost is $35 (Standard)       Quantity ____X $35.00

Total Amount                                    $_____

Check # ________   Date on Check _______

Make check payable to Chris Cameron    

1335 Route 403 Hwy North

Northern Cambria, PA 15714

(814) 419-1319

Orders will be sent to your address  in August

$30 fee for returned checks

Thank you for your order!