ONLINE TRANSFER/CONVERSION ORDER FORM

Please print this order form and include it with your payment (unless paid via PayPal) and your video tape(s) with your order.
Please send your material via USPS or UPS and mail it to our address on this form .

I am paying with a check       O I am paying via PayPal        O

I am including videotape in the following format (please check ONLY ONE)
O VHS     O VHS-C     O Video-8     O S-VHS     O S-VHS-C     O Video-8
O Hi-8    O BetaMax      O U-Matic  O Digital-8    O Mini-DV     O DVCam

Please transfer or convert it to a (please check ONLY ONE)

O NTSC-DVD (viewable on NTSC-TV systems in the US and Canada)
O PAL-DVD (viewable on PAL-TV systems in Europe, Asia and parts of Africa)
O VCD (viewable on any TV worldwide as long as the VCD/S-VCD logo is on the DVD player)
O CD-ROM (viewable on Mac or PC computers with installed QuickTime software)

OR

O VHS tape in NTSC format
O VHS tape in PAL format

DVD2image FREE color title and graphic on jacket insert and disk label (please print):

 


I am enclosing a check in the amount of ____________________ for the following optional services:

$10.00 switching fee
I have included ____ additional tapes and I am adding a $10.00 switching fee for each tape above the first one

$ 20.00 additional DVD/VCD/CD-ROM
I want_____ additional O DVD, O VCD, O CD-ROM copy/copies of my new disk

 

Please send the original tape(s) and the disk(s) back to:

Name ___________________________________________________________

Address _________________________________________________________

City_____________________________________State______Zip___________

Phone # (day)_____________________  (evening) _______________________

 

IMPORTANT:

  When you ship your tapes(s) to The Transfer Store, you MUST read and sign the following
and enclose
this completed form with your order before we can process it.

 

With my signature I authorize the above stated video transfer/conversion to be performed by The Transfer Store. I understand that I have purchased a SERVICE which will convert or transfer my enclosed video tape(s) to a DVD or VCD for my own private usage and that I am responsible for any royalties which may be due or for obtaining permission to duplicate any copyrighted material, and for the total content of the finished dup lication. I agree with the Company’s Terms and Conditions.

Authorized signature_______________________________________                      Date____________

For possible questions regarding our transfer services please feel free to contact us:
The Transfer Store • 2229 East McDowell Road; Suite 4 • Phoenix, AZ 85006 • (602) 244-8726

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