DVD Duplication Order Form

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

Discount Duplication, 240 Oxmoor Circle, Suite 102, Birmingham, AL 35209

   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________ 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
________ Silver Thermal Disc Print And Burn
________ Inkjet Disc Burn Only
________ Inkjet Disc Print Only
________ Inkjet Disc Print And Burn

Printing
________ Silver Thermal Black Ink Under 25 Words (No Charge)
________ Silver Thermal Black Ink Over 25 Words plus Logo (Add 14.99)
________ Inkjet Black Ink Text Under 25 Words (No Charge)
________ Inkjet Black Ink Over 25 Words plus Logo (Add 14.99)
________ Inkjet Full Color Face Send Photoshop PSD or TIFF on our template

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

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

__________ Check here for Proof Copy _________Express Overnite Proof Copy

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

Video Tape to DVD-R Transfer 60 minutes 14.99 120 minutes 19.99

Your DVD Player must be able to play finalized DVD-R Discs. *see company policy for failure to proof.

Send All Artwork to art@discountdub.com
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   DVD Label Inkjet Template   DVD Label Thermal Template