CD-DVD Alive Order Form

LGDIGITALMEDIA.COM

CD / DVD ALIVE - ORDER FORM
> ORDER NUMBER thermage

 

Use this form for fixing memory card.

 

THIS ORDER WILL BE PROCESSED WITHIN 24/48 HOURS

 

Remember to Print this form after filling it and then ship along with all the material. You can E-mail this form as well, so we will be ready for your shipment.

No P.O. Box Shipping
  Billing Information

Shipping Information

 (Check to use Billing Information: )

First Name*:

Last Name*:

E-Mail*: (Paypal Account)
Company:
Address*:
 
City*:
Postal Code/Zip*:                        
Country*:
State*:
Telephone*: (Day)

Fax:

Telephone: (Even.)

* Field Required

 Send confirmation via email Send confirmation via email

Paypal Account if different from Email above:

  
Place all the disc(s)

Packing securely. Don't let them be loose in the box
Make special annotation on a separate paper if the side note space will be short
Print out our envelope shipping address
 

 
Base Price Qty Price Amount

 

Original Disk (Media) To Be fix 

 

Back-up Output Format

 

 
Authoring
DVD Authoring

DVD Simple Menu

Extra Copies

 

Personalize My DVD
Personalize my DVD without ordering DVD Authoring

I'm enclosing a photo to be placed on the DVD case and for the disc print. This will be done only for the Master Media Output.
For Extra copies (either free or optional) please include $35.00 per each print (Case & Disc)

Please Insert a design of your choice for the Master Media Output

 

or choose the default titles:  Our Vacation   Our Family   Our Children   Party Movie

Please choose a theme for your DVD Menu for DVD Authoring Option or if you checked above the $25 option
None Memories Book Travel Map Season
Classic Movie Ocean Wedding Album Nature Wild
 

Payment
Check Attached Payable to: Giuseppe Lanzetta
Money Order
Paypal Account: paypal@lgdigitalmedia.com
Interact On-Line Account: interact@lgdigitalmedia.com
Cash On Collection (Pick-up/Local delivery only) Canadian Funds Only
Rush Job Add 50% from the subtotal (International/USA)

 
International/USA Canadian Resident GST PST Quebec Resident

$

$

$

$

$

 

                                         

 
PLEASE READ AND SIGN. All payments are in Canadian funds. Paypal account: paypal@lgdigitalmedia.com Check and Money Order must be paid to: Giuseppe Lanzetta. Check and Interac Email Money transfer will take about 5 business days to complete the transaction. For Quebec residents please add the GST and PST tax. Canadians pay only the GST tax. Foreign customer taxes are not subjected to be charged. Any order must be signed and agreed with our terms and conditions. Any inquire about this order form please e-mail us at: info@lgdigitalmedia.com. Shipping back is free for Canadian Customer when the amount will be more then of $150.00 (before Tax). We can't determinate the weight and the volume of the package you'll ship to us. We will inform you for the total of the shipping amount and we will bill you with a Paypal Money request charge. We use Canada Post and/or UPS or FedEx. Price subject to change without notice. We do not accept any kind of pornography material to perform any kind of transfer. ALSO I hereby authorize LGDIGITALMEDIA to transfer all the materials I'm shipping. I own all rights to this material (Video Tapes, Film, Photos, Negatives, Slides, Documents, Reels, Music and anything is including in the package) will not hold LGDIGITALMEDIA liable for copyright infringement. I assume full responsibility for obtaining releases when required for sale and distribution. I hereby agree that the handling, processing and packaging is without warranty or liability, even though defects, damage or loss by negligence or other fault may occur, furthermore, I agree to hold harmless and indemnify LGDIGITALMEDIA for any and all liability and/or claim arising from this transaction. I understand that Disc transfers and shipping/handling fees are not refundable because of incompatibility
 
     
     
     
Signature   Date