S.J. SHARKIE PERSONAL VIDEO ORDER FORM

Purchaser Name: *

Address: *

City: *

State/province: *

Zip: *

Phone: *

email address (all communications and the link to your video will be sent to this address) : *

Reconfirm email address: *

THIS SHOULD NOT BE THE EMAIL OF THE CELEBRANT

ATTENTION: All communication regarding your video will be made through e-mail. Please make sure that your above e-mail address is entered correctly and that you check your spam and/or other folders for any questions, information requests or responses.

Please submit the date that you will need your video (must be 2 weeks from today, but no more than 2 months from today. If it is not, your order may be canceled and refunded): * +

Coupon Code:

would you like the video filmed: *

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GREETING INFORMATION FOR VIDEO SHOUTOUT :

does your greeting have a year? IE: 5th Birthday

Name for greeting:

Please add any personal inormation that might make the video better and more personal:

Personal Stat 1:

Personal Stat 2:

Personal Stat 3:

ONCE YOU HIT SUBMIT ON THIS FORM, A PAYMENT FORM WILL APPEAR IN THE SAME FRAME ALLOWING YOU TO COMPLETE THE ORDER.

Your Personalized video (SOCIAL MEDIA QUALITY VIDEO) will be sent to you a minimum of 2 days prior to the requested date.

*the small print:

Messages may not be used for commercial purpose; advertisements, including websites, phone numbers, and social media handles and hashtags, are prohibited.

Messages that are obscene, offensive, or refer negatively to any NHL team are prohibited. Names of NHL teams and players are also prohibited

The Sharks reserve the right to remove or edit any message if necessary. If message is removed, there will be a full refund.

Cancelations made by purchaser after the video has been shot will recieve no refund.

PAYMENT INFORMATION; PLEASE CHECK ONE AND FILL OUT ALL INFORMATION:

ALL INFORMATION FOR ORDERS AND PAYMENTS MUST BE RECEIVED A MINIMUM OF 2 WEEKS PRIOR TO REQUESTED DATE. IF LESS THAN 2 WEEKS YOUR ORDER MAY BE CANCELED AND A REFUND GRANTED.

AFTER SUCCESSFULLY COMPLETING THE CREDIT CARD SECTION OF THE ORDER FORM, YOU WILL SEE A CONFIRMATION OF YOUR ORDER AS WELL AS A LINK TO PRINT A RECEIPT. THIS WILL BE YOUR CONFIRMATION. THANK YOU!

$50.00