DDC 2021 Recital Video

_____ Blu Ray $40.00

_____ DVD. $40.00

Each order will receive an electronic copy
Please Print Clearly

NAME: _________________________________________

ADDRESS: _______________________________________

CITY / STATE / ZIP: _____________________

Phone: ___________________________________

Email: __________________________________________________

Venmo: @Michael – Keune

CCard#: _______________________________________________
Exp date ______________ Secode: _____________________

May be mailed to: Mike Keune. 10242 Squire Meadows Dr #4. StL, MO. 63123

Make checks out to Mike Keune

My phone is 314 680-3483. Bellyup1007@gmail.com