AMM Autumn Multi Media LLC 250-364-2106 autumn@teamautumn.com SANDRA
WICKHAM FALL CLASSIC 2005 DVD ORDER
FORM PLEASE CHECK
WHICH CLASS YOU ARE COMPETING IN __ FIGURE __ FITNESS __MEN’S BODYBUILDING __ WOMEN’S BODYBUILDING Prices are $35.00 per DVD
plus $5.00 shipping = $40.00 ea The video will be produced on 2 DVD’s. SWFC 2005 DVD 1 Men’s/Women’s
Bodybuilding ____ SWFC 2005 DVD 2 Figure/Fitness ____ PLEASE PRINT THE FOLLOWING INFORMATION FOR
DELIVERY NAME: ___________________________________________ COMPETITOR # ______
ADDRESS: ________________________________________
CITY: ____________________________________________
POSTAL CODE: ____________________________________
TELEPHONE NUMBER: _______________________________
EMAIL ADDRESS: ___________________________________