Memory Video Order Form
(closing this page does not exit the
website)
Print this form
on your printer and enclose it with the order and ship to:
Audio Video
Memories, 3971 Hoover Road, Suite 241, Grove City, Ohio 43123-2839
e-mail:
|
Qty |
Item |
$/ea |
Total |
Notes |
|
1 |
Opening
text/graphic screen |
N/C |
0.00 |
|
|
1 |
Closing
text/graphic screen |
N/C |
0.00 |
|
| |
Pictures,
slides & prints |
$2.50 |
|
|
| |
Video clips |
$35.00 |
|
max. 3 clips,
15 min. |
| |
Home Movie
clips |
$35.00 |
|
max. 3 clips,
15 min. |
| |
$3.50 options |
$3.50 |
|
Specify in
Script |
| |
$7.00 Options |
$7.00 |
|
Specify in
Script |
| 1 |
Other Charges
as agreed |
|
|
Specify in
Script |
|
1 |
DVD |
N/C |
0.00 |
|
| |
Additional
DVDs, ea. |
$12.00 |
|
|
| 1 |
Additional
Services as agreed |
|
|
|
| 1 |
S&H on orders
of $150.00 or more |
N/C |
0.00 |
|
| 1 |
S&H on orders
less than $150.00 |
$13.00 |
|
|
| Total: |
|
|
|
|
|
| Ohio customers add 6.75%
Sales Tax: |
|
|
| Total: |
|
|
|
Questions? Call our toll free number 1-866-326-1255, 9am - 5pm,
EST. |
At Audio Video Memories we respects your privacy. Your
name, address, e-mail address, phone and fax numbers, and credit card
information is used only to communicate with you and transact the business
that you have asked for. The photographs, documents, records, tapes, and
audio-visual items that you have entrusted us with, will be seen only by
trusted employees as they process your order.
This page was last modified on
04/27/10
|
Shipping and Contact Information |
| First Name
|
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| Last Name
|
|
| Street
Address |
|
| Address
(cont.) |
|
| City
|
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|
State/Province |
|
| ZIP/Postal
Code |
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| Above address
is a |
Residence |
Business |
| Work Phone
|
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| Home Phone
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Additional Instructions