For Shipment of TAPES for DUPLICATION Please DO NOT Use this Form for DVD DUPLICATION. Use the DVD Order Form Please Print Your Name ______________________________________________ Address_____________________________________________________________ City____________________________________ State _______Zip Code________ Daytime Phone Number ( ) Evening Phone Number ( ) Email address: _______________________________________________________________________________ What is the exact nature of the work you want done: e.g., "I'm sending you three VHS tapes and two Hi-8 tapes. Please combine onto one tape in the numbered order on the cases and make six copies." Or just "Please make 2 VHS copies of the enclosed VHS tape." ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ What tape format do you want the duplication(s) to be placed on: S-VHS; 8 mm; Hi-8; Digital-8 mm; Mini DV What do you want printed on the spine label of the finished videotape(s). Please Print: ________________________________________________________________________________ How you would like to handle payment? Circle One: A. Include your credit card number and we will charge your account with the transfer and copy costs, shipping and handling charges. Your card will not be charged until we are ready to ship the order. Please supply: Card Type: M/C Visa (we cannot accept Debit Cards, American Express or Discover Credit Cards) Card Number: __________________________________________________________________________ Expires (mm/yy) _________________________________ Three digit security number on reverse of card ____________________ B. Have us e-mail you when the order is ready to ship and you may call us with your credit card number. C. Have us e-mail you when the order is ready to ship and you can send us a check. We will ship your order when your check clears. Please contact VideOccasions with any questions you may have before you send us your tapes for duplication. Please print this form, fill it in, and include with your order. VideOccasions Business Hours Monday - Friday 10:00 a.m. to 6:00 p.m., Pacific Time Zone Thursday 10:00 a.m. to 5:00 p.m., Pacific Time Zone Please remember: When it's 10:00 a.m. in New York, it's only 7:00 a.m. in Seattle. Most of our customers ship film to us via the U.S. Postal Service, although we also receive shipments via UPS , Fed Ex and other carriers. We suggest that regardless of the method you choose to ship your film you request "tracking" of the package so that both you and the carrier will know at all times the whereabouts of the package. Ship to: Contact: VideOccasions jack@videoccasions-nw.com 2806 129th Ave S.E. 425-641-4811 Bellevue, WA 98005