Independence 72 Media





    Media Request / Order Form


    Please fill out this form to request or order media. Performers, Sponsors and Members will receive (1) Free Event DVD. You can buy additional Event DVD, Blu-Ray or Photo CD.

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    Mailing Address:

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    PayPal - SLAALV

    Additional Order Form:

    * If you are not purchasing additional media, leave this section blank and proceed directly to the submit button.

    By filling out the form above, you will receive 1 Free Event DVD.

    Purchase additional copies below by entering the Media Type and Quantity. Available formats include:
    Blu-Ray $22 / Event DVD $10 / Photo CD $10
    ($10 shipping & handling is included in the price)

    Blu-Ray $22

    Blu-Ray

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    Event DVD $10

    Event DVD

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    Photo CD $10

    Photo CD

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