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THIS ORDER WILL BE PROCESSED WITHIN 24/48 HOURS

Foreign Conversion

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. We can assign our Job No. to accelerate the process upon arrival.
 
  Billing Information Shipping Information
 (Check to use Billing Information: )
First Name:
Last Name:
E-Mail:
Company:
Address:
 
City:
Postal Code/Zip
Country
State:
Telephone (Day)

Telephone (Even.)

  Send confirmation email via email Send confirmation email via email
       
Place all the tapes in numeric order
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
       

 

Description Of Tapes Format, Lenght and title (to appear on the box and disc/tape)
Tape No Tape Lenght

Title Of The Film

 Media Output
PAL SECAM NTSC AUT
Sample 2 Hr    Diana's Acapulco Vacation 1999 VHS X     X
1

2

3

4

5

6

7

8
9
10

 

Calculate the tapes you'll send to us (Select the quantity first)
 
Max Time Original Format Final Product Format QTY Price Additional Copy
Format QTY Price
2 Hrs SVHS

90min SVHS

2 Hrs VHS

90min VHS

2 Hrs SVHS-C

30min SVHS-C

2 Hrs VHS-C

30min VHS-C

2 Hrs 8mm

2 Hrs Hi8mm

2 Hrs D8mm

1 Hrs DVD

2 Hrs DVD

1 Hr Mini DV

80min Mini DV

2 Hrs Betamax
90min Betamax
1 Hr U-Matic
20min U-Matic
30min U-Matic

SUBTOTALS

  

Authoring
DVD Authoring (Per disc)

$

Personalize My DVD
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

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 & Delivery
Cheque Attached Payable to: Giuseppe Lanzetta
Paypal Account: paypal@lgdigitalmedia.com
Interact On-Line Account: interact@lgdigitalmedia.com
Cash On Collection Canadian Funds Only
Select a Delivery

 

$

 
International/USA Canadian Resident GST PST Quebec Resident

$

$

$

$

$

 

All payments are in Canadian funds. Paypal account: paypal@lgdigitalmedia.com Cheque must be payed to: Giuseppe Lanzetta. Total of the invoice will be confirmed by e-mail with an assigned reference number. For Quebec residents please add the 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 at $20.00 for Canadian Customer only as well for order above $500. USA customer will be $40.00. Other Foreign customer will be $50.00. We use Canada Post. Price subject to change without notice.
 
     
     
   
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