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Ultimate Keepsake.com |
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DVD CONVERSION ORDER FORM - PREMIUM PACKAGE |
To order please print and fill in this form using the command "Print" in the file menu. Please send the conversion order form, the tape/tapes and a check or money order with the total amount payable to: James Drochter, (Ultimatekeepsake) -- Send to: 622 Auber Dr., Manchester, Missouri, 63011 Ultimate Keepsake recommends shipping by USPS, UPS, FedEx or other carrier that offers package tracking and delivery confirmation. |
| Important:
Please identify each tape with order tracking number.
(First two letters of your last name and
last four digits of your S.S. number. Example: DR2274. Please identify tapes as Primary and Source. Example: DR2274P and DR2274S (max. of 1 hour only ). One order form per package. |
| Order tracking number | Number | Price each | Total | |
| Conversion to DVD, Premium Package Higher Quality (1 hour format) | ********* | $34.00 | ||
| Additional DVD copies | $8.00 | |||
| Shipping and Handling: Continental USA only - Priority Mail | $5.50 |
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Total- |
| Printed title, direct on DVD (specified by you): |
| Menu background # (specified by you): |
| Terms: In consideration for Services listed above to be provided by www.ultimatekeepsake.com. Client agrees to Terms & Conditions and Limits of Liability as stated. |
| Please Print Clearly | |
| Name: | Signature: |
| Address: |
| City: | State: | Zip Code: |
| Phone: ( ) | E-Mail: |
Note: Rates are in US dollars. All prices are subject to change without notice