CD Transfer 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 ________________________________ 

If Paying by Credit Card, 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 Transferred

Tape Format_________________ Length of Audio ________  Black Thermal Label________ #Of Extra Copies ($2.99 ea) ________

Audio Cassette 60 Min $9.99 | Micro Cassette $14.99 | LP 33 1/3 or 78 RPM $19.99 | 45 RPM $9.99

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 obtainingpermission 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 Template