Please fill in the applicable entries below for Each DVD Project.

VIDEO TO DVD ORDER FORM

Each DVD holds up to 2 hours of video...only $9.95 !

CONTACT NAME:

SHIPPING ADDRESS:

OPTIONAL ADDRESS LINE:

CITY OR TOWN:

STATE:

ZIP / POSTAL CODE:

PHONE (with area code):

EMAIL ADDRESS:

DATE (Month/Day/Year):

Videotape Notes:

We can only transfer videotapes recorded in the NTSC (National Television Standards Committee) video system, the system most American camcorders and VCRs use, no PAL or SECAM, etc. All DVDs are normally recorded in SP mode to insure the best quality. In SP mode, each DVD holds up to 2 hours of video, for example, 2 one-hour video programs. If your videotape program was recorded in SP mode and it is longer than 2 hours, it will require additional DVD discs to transfer all of it. If your videotape was recorded in LP or EP mode and is longer than 2 hours it can be transferred to one DVD disc in LP or EP mode for $5 per extra hour or part thereof.

Included DVD Titles

TITLE TO BE ON YOUR DVD:

(included)

(For example: "The Smith Family Video")

1st Menu Button Title:

(included)

(For example: "Fishing Trip")

Name of Videotape to be Transferred:

(if it has a name)

Length of that Videotape:

(if known)
Hours : Minutes
YOUR VIDEOTAPE FORMAT:
(if known)
( All NTSC - U.S.A. type only )

VHS S-VHS VHS-C Betamax

(check the formats that best describe your videotapes, if known)

 Mini DV 8 mm Hi-8 Digital 8
NOTE: The quality of your existing video picture and sound will determine the ultimate quality of your DVD video. Videos that are copies of the original, older videotapes and videos that have been recorded in EP or LP modes will already have reduced quality.

Extra DVD Copies:

Limited Time Offer on DVD Copies!!!
If you get 5 or more (of any or all master DVDs) they are only $3 each

Number of EXTRA DVD Copies

( 5 or more ):

x $3.00 each. =

Extra Chapter

Menu Button Titles ..only $4 each!

More Menu Button Titles:

 Click here to go to the EXTRA MENU BUTTONS ORDER FORM

Number of EXTRA Menu Buttons:

x $4.00 each. =

UTAH RESIDENTS ADD 6.6% SALES TAX

SHIPPING AND HANDLING:

Add $5.00 for Handling to whatever it actually costs to ship your movie reels & DVDs back to you.
To Complete Your Order, please fill in the Payment Form below once entirely, PRINT, and Send with all Completed Video to DVD Order Form(s) (above) and Your Videotape(s).

Include any Additional Notes or Instructions below:



PAYMENT FORM

This information can wait until your order is finished and ready for return shipment.

METHOD OF PAYMENT:

Credit Card Check Money Order
CREDIT CARD INFORMATION

TYPE OF CARD:

MasterCard VISA DISCOVER American Express

CARD NUMBER:

EXPIRATION DATE:

Card Verification Number:
\"Help
(On the back of your card, locate the final 3 digit number)
|

NAME ON CREDIT CARD:

CREDIT CARD BILLING ADDRESS

CITY:

STATE:

ZIP CODE:

To RESET the form, press this button:

I agree to pay the total amount according to the card issuer agreement.

CARDHOLDER'S SIGNATURE: __________________________________DATE:_____________

If paying by check or money order, make payable to MUSEVOX MULTIMEDIA.

Only checks drawn on US banks or domestic money orders in US $ will be accepted.

Complete and print order forms, then ship with your video tape(s) and remittance to:

MUSEVOX MULTIMEDIA
61 WEST 1040 SOUTH
 OREM, UTAH  84058 


Hours - 10 AM to 6 PM
Monday - Friday
Saturday by Appointment



Phone: (801) 226-2986
(If you live nearby, just bring your videotapes to our lab in Orem.)

Allow up to 3 weeks for completion and return of your order.

(Local orders are usually ready within 3 business days).

We return any and all materials you ship with your videotapes.

Musevox Multimedia is not responsible for videos lost or damaged via mail or shipping. For your protection you should insure or register any videos that are valuable or irreplaceable.

We WILL NOT transfer any illegal or obscene material nor any copyright protected videotapes.

QUESTIONS? ... Call MUSEVOX MULTIMEDIA at (801) 226-2986 or E-mail us
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