LG Digitalmedia - Photo Transfer Order Form
Film Transfer Order Form
LGDIGITALMEDIA.COM
1003 Hyman Suite B-1
Dollard-des-Ormeaux, PQ H9B 1M4
CANADA
  Order Number  Satellite TV

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BLUE RAY TRANSFER - ORDER FORM

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Remember to Print this form after filling it and then ship along with all the material.
 
  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 media and/or hardware
Place a note or category 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

Instructions: Fill, print and sign this copy. Then go back to the "Creative" page. Fill the notification form with your name, phone number and e-mail address. Important: report the above Order Number then proceed with the Paypal payment (if you wish this option) using the total amount from this form. Attach this form with your item to ship to us and print our shipping label
 
 

Media

 Title Select Conversion Quantity Total

  Yes I want authoring feature on my disk Add $89.00 per tape

Extra Copy  

Extra Copy

  

Extra Copy

 

      Total Items Subtotal
     

          

 

     

Payment

Check Attached  Payable to: Giuseppe Lanzetta 

 

 Money Order

Interac e-mail money transfer Account: lgdigitalmedia@gmail.com

Paypal Account: paypal@lgdigitalmedia.com
Rush Job Add 50% from the subtotal (International/USA)

 
International/USA Canadian Resident GST 5% PST 7.5% Quebec Resident

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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