Print web page and mail completed form to:

Asparro Video
14293 Amberwood Circle
Lake Oswego, OR 97035

or call us at: 503-347-6659 or 503-968-8895

Concert: ____________________________________________________

Date: ______________________________________________________

Ship to Name: _________________________________________________

Address: _____________________________________________________

City, State, Zip: ________________________________________________

E-Mail: _______________________________________________________

Phone: _______________________________________________________

Quantity: _______DVD (Standard Definition) @ $25.00/disk   = $_________

Quantity: _______ CD (Compact Audio Disk) @ $20.00/disk  = $ _________
(Not all concerts have a CD. Please call for availability.)

Quantity: ______ BD (Blu Ray High Definition) @ $35.00/disk = $_________
(Only concerts recorded after September 2009 are available in Blu Ray)

                    Shipping and Handling (unlimited quantiadd  $     5.00     

                                                                                 Total = $__________

Make your check or money order out to: "Asparro Video"

(Check will be cashed upon receipt)

We also accept: VISA Master Card and Discover:

Card Name (print):_______________________________________________

Card Number: ____________________________________Exp: _________

CID #: ___________CID number is located on back of your card in the signature
block after the credit card number.

Phone: _______________________________________________________

Signature: ____________________________________________________

(Card will be billed when media is shipped)