Live Video Chat Information Form Step 1 of 3 33% Please complete this form once for each video you've purchased. If you've not yet completed your purchase, please first go to the Personal Video page to complete your purchase before completing this form. The next step to delivering a “knock their socks off” video is information.Your Name*Your Email* Please enter your order # from the confirmation email we sent you when you paid:If you've not yet paid, please first complete your purchase. Then return here to complete this form.Person's name this video is for:*Phonetic Pronunciation of name, if necessary What is their age (or approximate age)?*What is their relationship to you?*What is their gender?MaleFemaleWhat is the primary message you would like conveyed?* Additional information*Add anything else that might add to the fun, an inside joke, a teacher or supervisor's name, a pet's name, a recent accomplishment, a favorite Christmas character, movie, song, game, toy, etc.?Did you pay for the option to have a photo placed in the video?*YesNoWhat is the image or photo, and what should I say about it?*Now upload the file to our server.CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.