Crystal Image Photography - Video Services Order Form

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Crystal Image Photography

Historic Downtown Farmville

233A North Main Street

(above Caryn's Bridal)

1-434-392-3550

1-434-610-8917

email us at:

crystal@crystalimagephoto.com

Get Directions to Crystal Image Photography

Hours

Wednesday - Saturday 10 to 5

Find Us on Facebook

Video Services Order Form

To Place an Order:

First, complete this order form (all information is required and will be kept confidential). Once the order form is completed, print a copy of the completed form on your printer.

Next, choose one of the following payment options:

Option 1 - Pay on-line: Click the Send Information button below to send us a copy of your order by secure e-mail.
Option 2 - Pay by Mail: Include your payment with your shipment for prompt service.
OR
Option 3 - Pay by PayPal: Crystal Image Photo now allows you to pay your bill through PayPal with a major credit card or by electronic check. Simply enter your name and amount you wish to pay below, click NEXT, and then follow the instructions on the PayPal web site.

Your Name:
Amount you wish to pay:

Finally, place the printed copy of your order form with your film/photos/slides and send the form and your film/photos/slides via UPS or insured mail to:

Crystal Image Photography
233A North Main St
Farmville, VA 23901

IMPORTANT: Do not forget to include a copy of your completed order form with your order!

Personal Information
Name:		Phone:
E-mail:		Fax:
Address:
City:	State:		Zip:
Credit Card Information (Online orders ONLY):	CC Number		Card Type:
	Expires:		CVV2 Code:

Film to Video Information
Film Information:
# of Reels	Film Type	Est. Footage
	Regular 8mm Film
	Super 8mm Silent Film
	Super 8mm Sound Film
	16mm Silent Film
	16mm Sound Film

Video Duplication Information
Number of MASTERS provided:
VHS	SVHS	DVD
VHS-C	Video 8	Hi-8mm
Number of DUPLICATES of each master:
VHS	SVHS	DVD
VHS-C	Video 8	Hi-8mm

Photos/Slides to Video Information

Slides:

Total number of slides

Total number of trays/carousels

Each slide must be numbered individually to indicate sequence

Photographic Prints:

Total number of prints

Sequencing: Transfer in numbered sequence Transfer in any sequence

Video Album Format Desired:
VHS CD-ROM (PC) CD-ROM (Mac) DVD
SVHS Hi 8mm Video 8

Music:
None                    Classical          Easy Listening    New Age                Classic Rock
Modern Rock    Jazz                  Forties Music     Country                  Soft Rock
Fifties Music     Sports Beat    Christmas            Wedding Music    I will send music
(Include CD or Cassette)

Special Instructions