Video Showcase Application Form

Step 1 of 2

Please note, this form is only for online payments. If you wish to pay by cheque, please use the cheque payment form on this page.

Company Name(Required)

Contact Name(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number(Required)

Email(Required)

Website

Twitter

Facebook

PERFORMER BIOGRAPHY(Required)

PHOTOS

Max. file size: 50 MB.

References and/or “Letters of Recommendation”

Drop files here or

Max. file size: 50 MB.

VIDEOS

Max. file size: 50 MB.

YOU TUBE LINK

VIDEO SHOWCASE(Required)

** PLEASE NOTE ** VIDEO SHOWCASE IS ONLY AVAILABLE TO AAAS SERVICE MEMBERS

Signature(Required)

I agree to the terms and conditions

Date(Required)

Total

Credit Card(Required)

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Phone

This field is for validation purposes and should be left unchanged.

VIDEO SHOWCASE APPLICATION FORM