2017 VIDEO- Birdseye Sports Order Form
Customer E-Mail
Important: Enter a valid e-mail address. Receipts will be sent to this address.
*E-Mail:
Birdseye Sports DVD Store Order Form
2017 Steppin out
2017 NEPSSA Swimming
2017 NEPSSA Swimming
2017 NEPSSA Swimming
2017 NEPSSA Swimming
2017 NEPSSA Swimming
2017 NEPSSA Swimming
2016 WSI
2016
2009-2016
2008-2011 Regular Season Games
2007 Games
Sub-Total:
Tax (CT 6.00%):
Shipping & Handling:
Grand Total:
Billing Information
*First Name:Same name as on your card
Middle Initial:
*Last Name:
*Address Line 1:Where your statement is mailed
Address Line 2:Apt. or Suite No.
*City:
*State:
*Country
*Zip Code:
*Phone:
Shipping Information
Same As Billing Info
First Name:
Middle Initial:
Last Name:
Address Line 1:
Address Line 2:
City:
State/province
Country
Zip Code:
Credit/Debit Card Information
*Card Number:No dashes or spaces please
*Expiration Month:From your card
*Expiration Year:From your card
*Card Brand:
CVV: Card Security Code
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