AMDA PERFORMANCE ORDER FORM
STUDENT ACCOUNT MUST BE CLEAR PRIOR TO ORDER PROCESSING.
To obtain a link to your desired performance video, please complete this form and return to the First-Floor Reception at the 61st
Street Campus or mail to the address listed below. If you would prefer physical copies of your performance (in the form of a DVD),
please indicate the number of DVDs in the appropriate column. Please allow 4-6 weeks for processing and delivery.
STUDENT/ALUMNI PERSONAL INFORMATION
Student Name (Legal name on file – NOT stage name):
Graduation:  Fall (Feb. Grad)  Spring (May/June Grad)  Summer (Oct. Grad) Year: 19
Group:
Email:
/ 20
Phone:
PLEASE NOTE: DIGITAL LINKS ARE ONLY AVAILABLE FOR SPRING 2017 GRADUATION PERFORMANCES AND BEYOND
Show
Dance Graduation Performance (DA4)
Group
Semester of Performance
Link
# of DVDs
Dance Choreography Workshop (DA4)
Integrated Musical
Integrated Drama
Studio Graduation Performance
Studio Workshop
Café 100 (all semesters)
Dance Workshop (all semesters)
Graduation Ceremony
Total $:
Individual Order: $20 Three Orders: $55
Total $:
Each Individual Past Three: +$17
BILLING INFORMATION
MAKE CHECK/MONEY ORDERS PAYABLE TO AMDA, INC. – NO CASH ORDERS!!!
Billing Name (As it appears on card):
Type of Card:
 American Express
 MasterCard
Credit Card Number:
 Visa
DO NOT EMAIL FORM WITH CREDIT CARD INFORMATION
Expiration Date:
MAILING INFORMATION (FOR DVD ORDERS ONLY)
Mailing Name (If different than above):
Street Address:
City:
State:
Zip:
E-DELIVERY (FOR DIGITAL LINK ONLY)
ONE EMAIL ADDRESS PER ORDER FORM
PLEASE NOTE: DIGITAL LINKS ARE ONLY AVAILABLE FOR SPRING 2017 GRADUATION PERFORMANCES AND BEYOND
Email Address:
______
Questions? [email protected] or AMDA Production c/o Zach Symons, 211 West 61st Street, New York City, NY 10023