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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. We assign our Job No. to accelerate the process upon arrival.

No P.O. Box Shipping
  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)1 *

Fax

Telephone (Even.)

  Send confirmation via email Send confirmation via email
 

 

    
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
       

Select a Project:     CD/DVD     DVD-RAM

 

 
Base Price Qty Price Amount

 

$

Original Disk (Media) To Be fix  Recording Mode/Brand

 

$

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
(As many to fill the movie time)

 

$

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
 
Free Feature

1 Case, 1 Image printed on DVD, 5 LG DIGITAL MEDIA Coupons

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

 

$

Please select an amount value for shipping back your material    for insurance.
 
International/USA Canadian Resident GST PST Quebec Resident

$

$

$

$

$

 

All payments are in Canadian funds. Paypal account: Paypal@lgdigitalmedia.com Cheque must be paid 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 to ship back your material. We insure the value of your material (please specify). Discount is calculate per order, before taxes. Turnaround for this service is depend on our job traffic and the time to retrieve all the lost file and/or folders; with a regular traffic flow usual for 2 Mini-DVD Ram to back-up in one DVD-R will take 8 to 10 business days plus shipping time. Price subject to change without notice.
 

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Your Order Number:

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