prodeal

IMPORTANT! ONLY ACA CERTIFIED INSTRUCTORS QUALIFY FOR THE PRO DEAL

Print this form, fill it out completely and send it in with either a check, money order or credit card info to:

Outpost Pictures, 7833 Barton, Lenexa, KS 66214

All payments are to be in US funds. Make check or money orders out to Outpost Pictures.

* Required Field

*Name

*ACA Number

*Address

*Certification(s)

*City

*State

*Zip
*Country

*Day Phone

Evening Phone

*email

Web Address

*You are required to complete the following survey to qualify for the Special Instructor's Pricing. You may use the back of the printed form and additional sheets of paper if needed. Please answer honestly. Your responses will not affect your eligibility to receive the pro deal.

1. Are you actively instructing now? YES / NO (circle one)

2.Do you instruct through a club, university, paddle shop or other? Please explain.

3. Do you use instructional videos to aid in your courses? If so, how do you use them?

4. What subject matter would you like to see covered in any future instruction videos?

5. Which DVD features do you find most useful as an instructor? DVD Chapters? Looped video playback? Ability to Slo Mo? or other. Please explain.

6. Do you offer instruction videos for sale to your students? Yes / No (circle one)

7. Would you be interested in being able to purchase instruction videos at wholesale for the purpose of selling at retail to your students? Yes / No (circle one)

8. Would you like to be listed in our future webpage featuring instructors who use our instruction videos? Yes / No (circle one)

If you indicated "Yes", please provide either an email address, phone number, web address or all of the above to be listed on the webpage as your contact information so potential students can contact you directly. If you teach for a paddle shop, school or club, you can provide a link to your organization as well.

9. Finally, can you give us a brief, favorable quote we can use in our marketing efforts? Short and Sweet is best. Email quote to joe@paddlefilms.com.

Thank You for taking the time to fill out the survey. Go ahead and complete the rest of the order form. Write $10 in the space next to the title(s) you would like to order.
Retail $30
Pro Deal $10

$10 ea.

DVD ONLY
Quantity limited to one DVD per title per order.
The Kayaker's Toolbox

Grace Under Pressure; Learning the Kayak Roll

.

Nitty Gritty; the down 'n dirty of playboatin'

.

From Here To There; Canoe Basics

.

Sub Total

.

S&H Add $5 for first and $1 for each additional DVD. Call for international rates.

.

TAX NC Residents add 6.5% sales tax

.

Total Due

.

Amount Paid

.

Visa or MC #

Exp. Date

Name on Card

Signature of Card Holder

*Name			*ACA Number
*Address			*Certification(s)
*City		*State	*Zip	*Country
*Day Phone		Evening Phone		*Country
*email		Web Address

*You are required to complete the following survey to qualify for the Special Instructor's Pricing. You may use the back of the printed form and additional sheets of paper if needed. Please answer honestly. Your responses will not affect your eligibility to receive the pro deal.
1. Are you actively instructing now? YES / NO (circle one)
2.Do you instruct through a club, university, paddle shop or other? Please explain.
3. Do you use instructional videos to aid in your courses? If so, how do you use them?

4. What subject matter would you like to see covered in any future instruction videos?


5. Which DVD features do you find most useful as an instructor? DVD Chapters? Looped video playback? Ability to Slo Mo? or other. Please explain.
6. Do you offer instruction videos for sale to your students? Yes / No (circle one)
7. Would you be interested in being able to purchase instruction videos at wholesale for the purpose of selling at retail to your students? Yes / No (circle one)
8. Would you like to be listed in our future webpage featuring instructors who use our instruction videos? Yes / No (circle one) If you indicated "Yes", please provide either an email address, phone number, web address or all of the above to be listed on the webpage as your contact information so potential students can contact you directly. If you teach for a paddle shop, school or club, you can provide a link to your organization as well.
9. Finally, can you give us a brief, favorable quote we can use in our marketing efforts? Short and Sweet is best. Email quote to joe@paddlefilms.com.




Thank You for taking the time to fill out the survey. Go ahead and complete the rest of the order form. Write $10 in the space next to the title(s) you would like to order.			Retail $30 Pro Deal $10
				$10 ea.
DVD ONLY Quantity limited to one DVD per title per order.		The Kayaker's Toolbox
		Grace Under Pressure; Learning the Kayak Roll		.
		Nitty Gritty; the down 'n dirty of playboatin'		.
		From Here To There; Canoe Basics		.
			Sub Total	.
S&H Add $5 for first and $1 for each additional DVD. Call for international rates.				.
TAX NC Residents add 6.5% sales tax				.
Total Due				.
Amount Paid				.
Visa or MC #
Exp. Date	Name on Card

Signature of Card Holder