Please complete this order form, print, and send with your
Credit Card information, Check, or Money Order to:
CHANNELL VIDEO PRODUCTIONS
563 North 355 West
Orem, Utah 84057



# of tapes
to transfer 		Video Tape Transfer Order Form
If you need help filling out the order form call 1-800-405-4809
Price
(per tape)
VHS, VHS-C, S-VHS $15.00
Hi-8, 8mm, Digital8 $16.00
3/4" Umatic $20.00
BETAMAX $20.00
Mini- DV, DVCAM $20.00
BETACAM SP $25.00
Additional DVD Copies
(Multiply the desired number of copies by the number of Master Disc's used for your project)		 $10.00 per disc
Return Shipping & Handling "Required"
(Enter the number of video tapes sent)

"Click Here" for TOTAL








Name:
Address:
City:
State:
Zip Code:
Phone:
Email:
Payment Options: Card Type:
Card Number:
Expiration Date: Month Year: Month

" The CVV2 number is a fraud-prevention measures implemented by VISA and MasterCard.
The 3 digit number is printed (not imprinted) on the back of the card,
just after the credit card number."
CVV2:
I agree to pay the total amount according to the card issuer agreement.

Cardholder's Signature:__________________________________ Date:_____________

If paying by check or money order, make payable to CHANNELL VIDEO PRODUCTIONS
Only checks drawn on US Banks or domestic money orders in US $ will be accepted.
Channell Video Productions is not responsible for lost or damaged films during shipping.
For your protection you should insure or register any videos that are valuable or irreplaceable.
Channell Video Productions will not transfer any offensive or pornographic video material.