MEDIA TRANSFER ORDER FORM INSTRUCTIONS
  
READ OUR ONLINE PRODUCTION AGREEMENT & PRIVACY STATEMENT THEN COMPLETE THIS FORM, SIGN & DATE
AT THE BOTTOM, AND SEND YOUR SOURCE MEDIA TO THE ADDRESS BELOW
USING INSURANCE & TRACKING

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SEND YOUR MEDIA TO:
Perfect Popcorn
10912 Thousand Oaks Drive
Huntersville, NC 28078

 
DO NOT SEND PAYMENT WITH ORDER FORM
PAYMENT IS DUE WHEN YOUR PROJECT IS FINISHED

Questions? Feedback?
Call us anytime
Toll Free 1-800-237-2517

CONTACT INFO
The information you enter on this form is not shared with anyone.

Daytime Phone

Evening Phone

E-Mail


BILL-TO ADDRESS

SHIP-TO ADDRESS
- LEAVE BLANK IF SAME AS BILL-TO
Name
Street 1
Street 2
City
State
Zip
Country
Name
Street 1
Street 2
City
State
Zip
Country

 SPECIAL INSTRUCTIONS (OPTIONAL)

 Videotape
 ENTER QUANTITY OF 60-MIN TAPES TO BE TRANSFERRED

SOURCE (60 min per transfer)

PRICE EA

QUANTITY
(60 minutes)

 VHS Xfer to DVD

$12.00

 VHS-C Xfer to DVD

$12.00

 Hi-8/8mm Xfer to DVD

$12.00

 Mini-DV to Xfer DVD

$12.00

 Laser Disc Xfer to DVD

Call

 Beta Max Xfer to DVD

Call

Note: For videotape quantity enter 1 if your videotape is 1 hour or less, enter 2 if your videotape is 2 hours, enter 3 if your videotape is 3 hours, etc.

We transfer 1 hr/60 min to 1 DVD at 720x480 resolution

 Photos, Slides, Records, Audio Cassettes
 ENTER QUANTITY OF EACH TYPE OF MEDIA BELOW

SOURCE

PRICE EA

QUANTITY

 Digital Photos Xfer to DVD

$1.00

 Photos Xfer to DVD

$2.00

 Slides Xfer to DVD

$2.00

 Option - Dissolve Transition
FREE
(included)
 Option - Background Music
FREE
How many seconds do you want each image to appear on screen?
(SUGGEST 5 SEC):

SOURCE

PRICE EA

QUANTITY

 Record Xfer to Audio CD
$22.00

 Cassette Xfer to Audio CD

$22.00

 8mm Projection Film (with & without sound)
 A 3" inch diameter film reel is about 50' feet of film = 3 min video
 ENTER QUANTITY OF FILM REELS TO BE TRANSFERRED

SOURCE

PRICE EA

QUANTITY

 50' Film Reel Xfer to DVD

$22.50

 100' Film Reel Xfer to DVD

$45.00

 200' Film Reel Xfer to DVD

$90.00

 300' Film Reel Xfer to DVD

$135.00

 400' Film Reel Xfer to DVD

$180.00

 16mm Projection Film (with & without sound)
 A 6" inch diameter film reel is about 200' feet of film = 12 min video
 ENTER QUANTITY OF FILM REELS BELOW

SOURCE

PRICE EA

QUANTITY

 50' Film Reel Xfer to DVD

$26.50

 100' Film Reel Xfer to DVD

$53.00

 200' Film Reel Xfer to DVD

$106.00

 300' Film Reel Xfer to DVD

$160.00

 400' Film Reel Xfer to DVD

$212.00

 ADDITIONAL OPTIONS
 ENTER QUANTITY OF ADDITIONAL DVD COPIES
PRICE EA
QUANTITY
 Additional DVD Copies (Order extra DVD copies to give as gifts - just $5 each)
 $5.00

 Custom DVD Title (appears on the DVD main menu)

 Main Menu Title: ___________________________________________________

 $8.00
The primary goal is to preserve your media on DVD. If you would like custom editing of your video to include chapter mark titles, background music, or to simply remove/move a part of your video around give us a call and let's talk about your project. We can give you a price on custom editing services. Call us Toll Free anytime 1-800-237-2517.
ENTER TOTAL ESTIMATED COST HERE:  $ 

 
  Customer Signature (required)

  Signature ______________________________
          

  Today's Date _______/_______/_______

By signing above you agree with our DVD Production Agreement
 as posted on our website http://PerfectPopcorn.com/agree.asp

DO NOT SEND PAYMENT YET!
ALL
SOURCE MEDIA WILL BE RETURNED WITH AN INVOICE
CALL US AT 1-800-237-2517 IF YOU HAVE A GROUPON

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Questions? Toll Free 1-800-237-2517

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