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Indiegogo Backer Perk Form
Name
*
First Name
Last Name
Email Address
*
Perk Level
*
Pledge $5 or more: Wallpaper for your Desktop or Phone
Pledge $20 or more: Digital Download of the Film
Pledge $30 or more: DVD Copy
Pledge $50 or more: Signed BluRay Copy
Pledge $100 or more: Crew Shirt and Signed DVD Combo
Pledge $250 or more: Replica Prop and DVD
Pledge $500: Signed Script and BluRay
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Additional Information
*
Thank you!