Foreign Conversion Order Form
LGDIGITALMEDIA.COM

FOREIGN TRANSFER - ORDER FORM

   

 

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.


 
  Billing Information Shipping Information
 (Check to use Billing Information: )
First Name*:
Last Name*:
E-Mail*: (Paypal Account)
Company:
Address*:
 
City*:
Postal Code/Zip*:
Country*:
State*:
Telephone (Day)*:

Telephone (Even.):

* Field Required

Send confirmation email via email Send confirmation email via email

Paypal Account if different from Email above:

 
 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
 

 

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

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)

 
Original Format Final Product Format QTY Price Additional Copy
Format QTY Price
PAL/SECAM SVHS ─>

NTSC SVHS ─>

PAL/SECAM VHS ─>

NTSC VHS ─>

PAL/SECAM SVHS-C ─>

NTSC SVHS-C ─>

PAL/SECAM VHS-C ─>

NTSC VHS-C ─>

NTSC 8mm ─>

NTSC Hi8mm ─>

NTSC D8mm ─>

PAL/SECAM DVD ─>

NTSC DVD ─>

NTSC Mini DV ─>

NTSC Betamax ─>

NTSC U-Matic ─>
PAL/SECAM Video CD ─>
NTSC Video CD ─>
PAL/SECAM Mini DVD ─>
NTSC Mini DVD ─>

SUBTOTALS

 

Authoring
DVD Authoring (Per disc)

Editing
Please Remove Commercials, Black spot (per cut) for more specific editing please print our Q-Sheet

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

Cheque Attached Payable to: Giuseppe Lanzetta
Money Order
Paypal Account: paypal@lgdigitalmedia.com
Interact On-Line Account: lgdigitalmedia@gmail.com
Cash On Collection (Pick-up/Local delivery only) Canadian Funds Only

Rush Job Add 50% from the subtotal (International/USA)

 
International/USA Canadian Resident GST PST Quebec Resident

$

$

$

$

$

 

                                 

 
PLEASE READ AND SIGN. All payments are in Canadian funds. Paypal account: paypal@lgdigitalmedia.com Check and Money Order must be paid to: Giuseppe Lanzetta. Check and Interac Email Money transfer will take about 5 business days to complete the transaction. For Quebec residents please add the GST and 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 back is free for Canadian Customer when the amount will be more then of $150.00 (before Tax). We can't determinate the weight and the volume of the package you'll ship to us. We will inform you for the total of the shipping amount and we will bill you with a Paypal Money request charge. We use Canada Post and/or UPS or FedEx. Price subject to change without notice. We do not accept any kind of pornography material to perform any kind of transfer. ALSO I hereby authorize LGDIGITALMEDIA to transfer all the materials I'm shipping. I own all rights to this material (Video Tapes, Film, Photos, Negatives, Slides, Documents, Reels, Music and anything is including in the package) will not hold LGDIGITALMEDIA liable for copyright infringement. I assume full responsibility for obtaining releases when required for sale and distribution. I hereby agree that the handling, processing and packaging is without warranty or liability, even though defects, damage or loss by negligence or other fault may occur, furthermore, I agree to hold harmless and indemnify LGDIGITALMEDIA for any and all liability and/or claim arising from this transaction. I understand that Disc transfers and shipping/handling fees are not refundable because of incompatibility.
 
     
     
     
Signature   Date