Midwest Production Services - Film to DVD Transfer Form

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FILM TO DVD TRANSFER FORM

If you have questions, either fill out the form below or give us a call.

Contact Information:		Ship Transfer To:
Name:		Name:
Address:		Address:
City/State/Zip:		City/State/Zip:
Day Phone:	- -	Phone:	- -
Eve Phone:	- -
Cell Phone:	- -
Email:

FILM INFORMATION:

Number of Reels:

Are reels numbered?

We will splice camera reels (50 foot reels) on to new plastic reels. Your film will be returned. Would you like the old (empty) reels and/or boxes returned?

TRANSFER FORMAT:

VHS DVD

BACKGROUND MUSIC:

Background music selections are from our licensed music library. You may pick one or a mix:

Lite/Easy	Lite Jazz	EZ Listening
Country	EZ Rock	Classical

TITLES:

We can add titles at the beginning and between reels. If you would like titles, please indicate on a separate sheet what titles you would like and where they are to be placed. (Additional charges will apply.)

We can add a title onto the disc. Following is a sample you can use or provide your own:

Disc Title: The Family Movies

Please title my disc:

ADDITIONAL COPIES:

Duplicate from the digital masters can be made for an additional fee. Please indicate number and format of additional copies:

DVD Quantity

VHS Quantity

ADDITIONAL NOTES/COMMENTS:

PAYMENT TYPE :