MEDIA TRANSFER ORDER FORM

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SHIP MEDIA TO:

PERFECT POPCORN
10912 Thousand Oaks Drive
Huntersville, NC 28078


Toll Free 1-800-237-2517

 
DO NOT SEND PAYMENT WITH ORDER FORM
WE WILL EMAIL AN INVOICE ONCE WE
INSPECT & INVENTORY YOUR MEDIA

ENTER YOUR INFO BELOW THEN PRINT THIS ORDER FORM AND
MAIL IT WITH YOUR MEDIA TO THE ADDRESS SHOWN TO THE LEFT

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)

 Video Tapes
 ENTER QUANTITY OF SOURCE TAPES BELOW

SOURCE - up to 120 minutes

PRICE EA

QUANTITY

 VHS to DVD

$12.00

 VHS-C to DVD

$12.00

 Hi-8/8mm to DVD

$12.00

 Mini-DV to DVD

$12.00

 Laser Disc to DVD

Call

 Beta Max to DVD

Call

Call us to discuss editing options. We can give you a quick project quote over the phone along with a project completion date estimate. Always package your media in humidity-proof dry packaging and use tracking and insurance on all packages.

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

SOURCE

PRICE EA

QUANTITY

 Digital Photos To DVD

$1.00

 Photos To DVD

$2.00

 Slides 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

 Xfer Record to Audio CD
$22.00

 Xfer Cassette to Audio CD

$22.00

 8mm Projection Film
 ENTER QUANTITY OF FILM REELS BELOW

SOURCE

PRICE EA

QUANTITY

50' reel (3") to DVD

$22.50

100' reel to DVD

$45.00

200' reel to DVD

$90.00

300' reel to DVD

$135.00

400' reel to DVD

$180.00

 16mm Projection Film
 ENTER QUANTITY OF FILM REELS BELOW

SOURCE

PRICE EA

QUANTITY

50' reel (3") to DVD

$26.50

100' reel to DVD

$53.00

200' reel to DVD

$106.00

300' reel to DVD

$160.00

400' reel 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 you agree with our DVD Production Agreement
as posted on our website http://PerfectPopcorn.com

DO NOT SEND PAYMENT YET
ALL
SOURCE MEDIA WILL BE RETURNED
WITH AN INVOICE FOR SERVICES

CLICK BUTTON TO PRINT ORDER FORM


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