
Save your memories!
Send us your old video tapes, and even your DVDs today!
Just fill out the form below, and send it to us
along with your media and payment.
Contact us via email to get our
physical mailing address.
Name & Address ________________________________________________________
________________________________________________________
________________________________________________________
Email Address ________________________________________________________
Send us your old video tapes, and even your DVDs today!
Just fill out the form below, and send it to us
along with your media and payment.
Contact us via email to get our
physical mailing address.
Name & Address ________________________________________________________
________________________________________________________
________________________________________________________
Email Address ________________________________________________________
# of Tapes & discs enclosed (Please label each tape, with desired file title and length [hours & minutes] if known. Also indicate where in the sequence of files each tape should be placed, if you have a preference. Be sure to write legibly!)
# of tapes & discs @ $13 each = $
Indicate your choice of USB drive __________ or SD card __________
Add $10 to your cost for USB or $15 for SD card (either one, up to 8GB ) $
(If you are sending a lot of files which may require more than 8GB, we will contact you with the additional cost of a larger device.)
New Jersey residents (Only!) add 6.625% sales tax to total. Tax = Total due and enclosed
Credit Card # Name/s on Acct. Expiration Date
Security Code Associated Zip Code Signature Or Check #
Check here _________ (and be sure to pay with a credit card, rather than a check!) if you want your original old tapes and discs returned to you. By checking this option, you are authorizing that the cost of returning your original media be charged to your credit card. You will be notified, via email, of the cost added to your credit card for their return.
Enclose this form, along with your payment by check or credit card, clearly labeled tapes and/or discs,
along with any special requests you may have. (We will try to accommodate special requests if possible.)
*See explanations and disclaimers on the *Digitize the Memories!* tab under the Products & Services category.*
If you have any difficulty printing the blank form, use a separate paper and be sure to include all the required information!
# of tapes & discs @ $13 each = $
Indicate your choice of USB drive __________ or SD card __________
Add $10 to your cost for USB or $15 for SD card (either one, up to 8GB ) $
(If you are sending a lot of files which may require more than 8GB, we will contact you with the additional cost of a larger device.)
New Jersey residents (Only!) add 6.625% sales tax to total. Tax = Total due and enclosed
Credit Card # Name/s on Acct. Expiration Date
Security Code Associated Zip Code Signature Or Check #
Check here _________ (and be sure to pay with a credit card, rather than a check!) if you want your original old tapes and discs returned to you. By checking this option, you are authorizing that the cost of returning your original media be charged to your credit card. You will be notified, via email, of the cost added to your credit card for their return.
Enclose this form, along with your payment by check or credit card, clearly labeled tapes and/or discs,
along with any special requests you may have. (We will try to accommodate special requests if possible.)
*See explanations and disclaimers on the *Digitize the Memories!* tab under the Products & Services category.*
If you have any difficulty printing the blank form, use a separate paper and be sure to include all the required information!