Online Order

Online order form for custom cheer, pom and dance music mixes

Gold Medal Mixes Online Order Form

(*) are required fields in order to submit.

Team/Gym Name *
Team Division / Level
Contact / Coach's Name *
Email *
Cell Phone *
Work phone (if applicable)
Fax Number (if needed)
Other Phone
Team Mascot *
Team Colors
Team Website
Best way to contact *
Address 1
Address 2
City *
State/Province *
Zip Code
Country
Custom or Premade *
Type of Routine *
If other, please type in box
Style of Mix *
Length of Music *
Song Requests - Artist, Title & Song Version
Work off 8 count sheet?	No Yes (add $75)
Target BPM (Beats Per Minute) *
Voiceover Talent
Voiceovers Needed
Additional Mix Notes
Number of Routines *
Order Cd Copies *
Shipping *
Rush or Non Rush Order Type *
Payment Method *
Estimated Total (optional)
Delivery Date (Estimate)
Agree to Terms *	I have read and understand all the rates and policies of Gold Medal Mixes and agree to terms and conditions.
Order Date *
Please type the letters and numbers shown in the image.
	Click the image to see another captcha.