Order Form

Parent/Guardian Name: *

Student Name: *

Parent Email Address: *

(order will be confirmed to this email address once payment is processed)

Items Of Interest *

Recital T-shirt = $25
Recital Video (digital download) - Family with 1 Performer = $15
Recital Video (digital download) Family of 2 or more Performers = $20
Premiere Dance Center Plush Unicorn = $17

T-shirt Size

Are You Interested In Multiple T-shirts?

How Many Total T-Shirts Would You Like To Order?

T-shirt Size - 2

T-shirt Size - 3

T-shirt Size - 4

T-shirt Size - 5

Last 4 digits of the credit card to be charged from your Premiere Dance Center account *

Signature - Please include your full name as your signature: *

By signing above you authorize Premiere Dance Center, LLC, to charge the credit card on file for the above items.

*Only customers with a current Premiere Dance Center account and a current credit card on file will be able to purchase recital merchandise via this form.*

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