8MM AND SUPER8 FILM ORDER FORM
TO BE PRINTED AND INCLUDED WITH ORDER

Contact Information

FIRST NAME:______________ LAST NAME _______________________________

ADDRESS: __________________________________________________________

CITY/TOWN: ____________________________________ PROV.: _________

POSTAL CODE: ________________

E-MAIL ADDRESS: ______________________________________

PHONE #   __________________________________

Order Details

REELS QUANTITY              PRICE TOTAL
50' (3 inch reel - silent) X $12.00 = $
100' (4 inch reel - silent) X $20.00 = $
150' (silent) X $30.00 = $
200' (5 inch reel - silent) X $35.00 = $
250' (silent) X

$45.00

 = $
300' (6 inch reel - silent) X

$50.00

 = $
350' (silent) X

$55.00

 = $
400' (full 7 inch reel - silent) X

$60.00

 = $
Additional MiniDV tape copy (1 hour per tape) X

$20.00 per tape

 = $
Music added  

Add 10% of total

 = $
Duplicate DVD copies X

$10.00 each

 = $
Source file copied to external USB hard drive  

$20.00

 = $
SHIPPING & HANDLING   = $ ______________
TOTAL   = $
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Title Of Video: What titles do you want to be printed on the cover and on the menus?
_____________________________________________________________________________________________
_____________________________________________________________________________________________

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Please provide us with as much detail as possible about your order. 

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If you are including multiple reels be sure to label each one if you want them in order. 

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For reels that are not full you will be charged only for the approximate length of the film.

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Please make cheque payable to "Doug Johnston".

Ship To:

DVD-HOME MEDIA SERVICES
ATTN: DOUG JOHNSTON
7935 Shackleton Drive
Richmond, B.C.
V7C 5H3