Film Transfer Order Form
LGDIGITALMEDIA.COM

VIDEO 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/Disks/Records/Reels in numeric order
 Place a note for those to be joined
 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, Length and title (to appear on the box and disc/tape)
Tape No TIME

Title Of the film

Type

Sample 2 Hr    Diana's Acapulco Vacation 1999 VHS
1

2

3

4

5

6

7

8

9

10

11

12

 

 

 
  Output Video Source Quantity Total

DVD -/+ R

DVD -/+ R Double Layer

DVD -R Gold

Video CD

Mini DV

VHS

Hard Disk 1

(*) Copyrighted ownership/authorization required.  (1) Include HDD and Shipping

Total Tapes/Disks

Subtotal

 

      

Options Qty Price Amount

 

Please Edit my Tape: Remove Commercials, Remove Black spot (per cut) for specific editing spot please print out our Q-Sheet

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
 

Payment

Cheque Attached Payable to: Giuseppe Lanzetta
Money Order
Paypal Account: paypal@lgdigitalmedia.com
Interact On-Line Account: interact@lgdigitalmedia.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 5% PST 7.5% 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 Interact 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