CD Duplication Order Form

Print this form, fill it out clearly, sign it and send it with your order to:

Discount Duplication, 212 41st Street South Birmingham AL 35222

   Name ______________________________________

Address ______________________________________

   City ______________________________________

  State _________________ Zip ________________

Phone (      )_________________________


E-Mail ________________________________ 

Circle Credit Card Type      American Express      Discover     Mastercard      Visa

Account#____________________________ Exp. Date________ CVV Code________ Signature______________________

Please Fill Out One Order Form For Each Disc to Be Duplicated

________ Quantity Ordered | Master Name__________________________________
________ Silver Thermal Disc Burn Only
________ Silver Thermal Disc Print Only (100 Qty Min)
________ Silver Thermal Disc Print And Burn (100 Qty Min)
________ Inkjet Disc Burn Only
________ Inkjet Disc Print Only
________ Inkjet Disc Print And Burn

________ Silver Thermal Black Ink Under 25 Words (No Setup Charge)
________ Silver Thermal Black Ink Over 25 Words plus Logo (Add 14.99)
________ Inkjet Black Ink Text Under 25 Words (No Setup Charge)
________ Inkjet Black Ink Over 25 Words plus Logo (Add 14.99)
________ Inkjet Full Color Face Send Photoshop .PSD file on our template (100 Qty Min)

____ Paper Envelope ____ Jewel Box ____ Shrinkwrap ____ Bulk Cake Box
____ Full Sleeve Case ____ SL Box ____ Poly Box

_ _ _-_ _ _-_ _ _ _ Fax # for rush label approval
Keep Master on file ________

__________ Email Proof Copy (N/C) _________Proof Via USPS ($10.00) _________Proof Next Day Air ($39.00)

Proof copy is your guarantee of label and quality of dub.

Send All Artwork to
Please read and sign. I authorize the above stated work to be performed. I understand that I am responsible for any royalties which may be due, for obtaining permission to duplicate any copyrighted materials, and for the total content of the finished duplication. I do not hold Discount Duplication, Inc. liable for anything that should happen to property left due to mechanical, technical, fire, flood, or natural disaster. If paying by credit card, I authorize the charges for this service including shipping and handling to be charged to my card.

Authorized Signature_________________________________________________ Date_____________

Follow this link if you would like a Shipping Label for your Package  

Shipping Label Link   CD Label Inkjet Template   CD Label Thermal Template