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CELEBRITY VIDEO MESSAGE
REQUEST FORM

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GALA FUNDRAISING

    *Required Field

    Please select which Celebrity Private Video Message you purchased: DipperRichoTony ShawAsh Williams Who is the Video Message for? What are the message requirements (i.e. is it a gift, a rev up, for a celebration etc.)? Is there anything you would like your celebrity to say/include?*



    *note: inclusion requests will be subject to your Celebrity's discretion - they wholly reserve the right to deny the inclusion of any content they deem inappropriate or chose to deny for any other reason. How would you like your message sent? EmailSMS Please provide the email address or mobile number you would like the message sent to: Comments or questions: