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DVD-America 818-516-3583 |
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| Name___________________________________Company
Name ________________________________
Mailing Address_________________________________________________________________________ Phone Number_________________________E-mail Address___________________________________ |
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(This information will be printed on disk and the
front cover of the DVD)
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| Title |
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Description
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| Service(s) to be performed |
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Tape
to DVD conversion (1 DVD: up to 2 hours)
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Additional
DVD copies
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| Shipping ($6.00 plus $1.00 for each tape or disk) |
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Grand Total |
| Special Instructions; |
| Please
Print one form for each
tape, make your Check or Money Order payable to: "S.Y."
Send the order form with payment to: DVD-America P.O Box 4455 West Hills, California 91308 |
| Legal Information
By
submitting videotaped material (“Content”) to DVD-America, I request processing
services indicated above, and agree to pay the charges therefore. I agree
that the liability of DVD-America, its agents and employees, for any losses
or damages of any kind or nature to my Content is limited to the cost of
replacing my tape with a blank tape. I also agree that DVD-America, its
agents and employees, shall not be otherwise liable for any loss or damage
of any kind or nature, whether direct, incidental, consequential, or otherwise.
I (a) have the right to permit DVD-America to perform the DVD-America services
on the videotaped content I have submitted, as contemplated by my order,
including the copying and converting process, (b) the Content does not
injure, infringe, or violate any patent, copyright, trade secret, trademark
or other intellectual property right of any third party, or violate any
obscenity law or other applicable law, rule or regulation in any jurisdiction
in which the Content may be viewed or retrieved, (c) DVD-America's provision
of the processing and/or hosting of the Content hereunder will not infringe
upon or violate any patent, copyright, trade secret, trademark or other
intellectual property right of any third party, or violate any obscenity
law or other applicable law, rule or regulation in any jurisdiction in
which the Content can be viewed or retrieved, and (d) the Content and DVD-America's
provision of the processing service on my behalf is not for any illegal,
obscene, offensive or immoral purpose.(Order form rev 2-10-03)
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