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 NYCSL
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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