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Photo Transfer

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 slides and/or negatives 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 Slides/Strips/Photos, title (to appear on the box and disc/tape)
Tape No Slot #

Title Of the film

Type

Output
STD DLX CD Auth.
Sample All    Diana's Acapulco Vacation 1999 DVD X     X
1

2

3

4

5

6

7

8
9
10
11
12

 

Base Price Scanning set at 1800dpi (3.2Mega Pixel, Print at 11 x 8)

Output format default set at:

Minimum Order $ 75.00

 

 

Slide Show (Deluxe Only) for 35mm slides and 35mm Negative
 

STANDARD

DELUXE*

TOTAL
Price QTY Price QTY Standard Deluxe
Less than 500 $ $ $ $
501 to 750 $ $ $ $
751 to 1000 $ $ $ $
1001 to 1500 $ $ $ $
More than 1500 $ $ $ $

 

 

 

$

$

Slide Show (Deluxe only) for Photo scanning (4x6 - 5x7 - 8x11)

 

 STANDARD DELUXE* TOTAL
Price QTY Price QTY Standard Deluxe
Less than 500 $ $ $ $

501 to 750

 $ $ $ $
751 to 1000 $ $ $ $
1001 to 1500 $ $ $ $
More than 1500 $ $ $ $
      $ $
Slide Show (Deluxe Only) for 35mm Negative Strip Film 
  STANDARD DELUXE* TOTAL
Price QTY Price QTY Standard Deluxe
  $ $ $ $
  $ $ $ $
  $ $ $ $
  $ $ $ $
  $ $ $ $
      $ $
Slide Show (Deluxe Only) and transfer from Digital Images (Mem. Cards) to DVD
  STANDARD DELUXE* TOTAL
Price QTY Price QTY Standard Deluxe
Less than 200 $ $ $ $
201 to 500 $ $ $ $
501 to 1000 $ $ $ $
More than 1000 $ $ $ $
      $ $
(*) Some restoration will be done.

Output Format Option Qty Price Amount

 

$

Upgrade scanning resolution

 

$

Slide Show option for Standard Format

 

 $

Authoring
DVD Authoring (Per disc)

$

DVD Simple Menu (Per disc)

$

Extra Copies
Select DVD     VHS     CD     Video CD

$

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
(As many to fill the movie time)

 

$

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
 

PROMOTIONAL CODE
 
    Enter the 5 digits

 

 

$

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

 

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International/USA Canadian Resident GST PST Quebec Resident

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