Solid Gold Video 5975 W. Sunrise Blvd. Suite 115, Sunrise, FL 33313 954-581-0206 DVD Order Form Name: ____________________________________________________________________ Address: __________________________________________________________________ City: ___________________________________ State: _________ Zip: ________________ Telephone: _______________ Fax: _______________ Email: ________________________ Original tape is on the following format: c VHS c VHS-C c S-VHS c 8mm c Hi-8mm c Mini-DV Number of videocassettes enclosed: ______________ Pricing: c Up to 2 hours of video transferred to DVD Quantity: ______ x $29.95 = ___________ c Additional DVD copies Quantity: ______ x $10.95 = ___________ c Additional charges: ___________________________________________ = ___________   Subtotal : = ___________ 6% Sales tax (Florida residents only): = ___________ $14.95 Shipping & Handling (if applicable): = ___________ Order total: = ___________ Please include check or money order for the order total. You can also make your payment using PayPal, the quick and completely secure way of paying with your major credit card over the internet. Go to PayPal.com for instructions. Make your PayPal payment to: payments@solidgoldvideos.com. By placing this order, you are agreeing to the terms on our web site. Send this form, your tape(s) and payment to: Solid Gold Video 5975 W. Sunrise Blvd. Suite 115 Sunrise, FL 33313 We suggest you ship either by UPS or FedEx, and make a copy of your video(s) before sending us the master. We cannot be responsible for lost or misdirected shpments. You may drop off your order at our office location at the above address 9-5 Monday-Friday Click here to close this window after printing to return to our web site