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
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:
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$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:
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