Videotape to DVD transfer order form
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Print this form on your printer and enclose with order and send to:
Audio Video Memories, 2280 Henderson Rd. Columbus, Ohio 43220-7333

I am enclosing ___________videotapes. Please transfer them to DVD and make _______additional sets of DVDs

I understand that the first copy of a tape up one hour in duration is priced at $12.00 for the first copy and $10.00 for each additional copy of the same tape.

I understand that the first copy of a tape between 1 hour and 1.5 hours in duration is priced at $15.00 for the first copy and $12.00 for each additional copy of the same tape

I understand that the first copy of a tape longer than 1-1/2 hour but less than 2.01 hours in duration is priced at $18.00 for the first copy and $12.00 for each additional copy of the same tape.

I understand that I will be charged $13.00 for return shipping to my address in the continental USA.

Based on the above I estimate that my total cost is: _____________and that Audio Video Memories may charge my credit card no more than that amount without my prior approval.

Additional instructions included with this order form:  NoYes

Shipping and Contact Information
First Name  
Last Name  
Street Address  
Address (cont.)  
City
State/Province  
Zip/Postal Code  
Above address is a

Residence?

Business?

Work Phone  
Home Phone  
 
Additional Instructions
 

E-mail
Please print clearly

 
Payment Information
Visa MC Check Checks are deposited on receipt. The completed order may be held until the check clears. We do not keep credit card numbers on file and we shred this information when we ship.

Cardholder Name

 

Card Number

  exp:

Signature

 
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Prices are subject to change without notice. This page was last modified on 11/28/08.