Five Star Media Video/Photo Package Purchase Form

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ONLY USE THIS FORM IF YOU ARE PURCHASING THE VIDEO & PHOTO PACKAGE
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Please DO NOT use this form to order videos & Photos unless you have a finalised program with correct Act Numbers, as we use these Act Numbers when videoing routines.
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PERFORMER NAME* This field is required.
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STUDIO NAME* This field is required.
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Email* This field is required.
example@example.com
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Phone Number* This field is required.
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Competition - SOLOS, DUOS, TRIOS & TROUPES* This field is required.
Please Select
Please Select
Platinum Dance November 2025
Sing It Out Loud Campbelltown
Sing It Out Loud Albion Park
VORTEX TROUPES August 2025
ICONIC Solos August 2025
ICONIC Troupes August 2025
Woonona Bulli RSL Singing JULY 2025
January UOW 2025
SUNSHINE COAST JUNE
WEST HQ Troupes
CITY LIGHTS SOLOS
CITY LIGHTS GROUPS
May UOW Troupes
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Where will we send your videos?* This field is required.
Please Select
Please Select
By Email via Google Drive or Dropbox Link
Music Uploads Account
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Number of Videos Required* This field is required.
Please Select
Please Select
1
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ACT NO.* This field is required.
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ACT NO.* This field is required.
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ACT NO.* This field is required.
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ACT NO.* This field is required.
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ACT NO.* This field is required.
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ACT NO.* This field is required.
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ACT NO.* This field is required.
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ACT NO.* This field is required.
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ACT NO.* This field is required.
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ACT NO.* This field is required.
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ACT NO.* This field is required.
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ACT NO.* This field is required.
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ACT NO.* This field is required.
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ACT NO.* This field is required.
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ACT NO.* This field is required.
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ACT NO.* This field is required.
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ACT NO.* This field is required.
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ACT NO.* This field is required.
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ACT NO.* This field is required.
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ACT NO.* This field is required.
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Video Routine Cost
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Total Video/Photo Package Cost
prevnext( X )
Description
AUD
+ OR enter a custom value
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PLEASE NOTE

PayPal transactions on your statements will be payments to Nigel Jones.
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Payment Methods
Debit Or Credit Card
Select PayPal Method
Choose from one of the PayPal options to make your payment.
Should be Empty: