Reel to Reel Film Transfer to DVD Order Form   Please print & complete this order form. Return it along with your film & payment Mastercard and Visa accepted as well as checks Take2Video Productions, LLC     9413 Hunters Pond Dr    Tampa, FL 33647

Make Check Payable to: Take2Video Productions     FL Residents Must Add 7% Sales Tax Questions?  Call 813-503-8477

Name                                                                                Address                                                                            Address                                                                            City                                          State          Zip                 Telephone                               E-Mail                               Visa or Master Card # ____________________________________  3 digit security number_______________ Name as it appears on your card ______________________________ Billing address if different then above: _____________________________________ _____________________________________                Authorized Amount _______________                               Signature ______________________

Take2Videoproductions.com 8mm Film Transfer Pricing Chart   3" (50ft) $6.50 per reel 5"( 200ft) $24.00  per reel   6" (300ft) $35.00  per reel  7"(400ft) 45.00 per reel    Add $10 per DVD if you want music added to your DVD

Part 1: Film Transfer      8mm:  I have _______ 8mm Reels at $_____per  Reel---------$_________ Example:  I have 25 Pricing Reels at $6.50 per Reel = 25 x $6.50 = $162.50     16mm:  I have _______ Feet of 16mm Film at $0.14 per Foot-----$________    Example:  I Have 2500 Feet of 16mm Film at $0.14 per Foot = 2500 x $0.14 = $350 Part 2: Recording Media        DVD Each is $10 & holds up to 1 hour of film (15, 50 foot 8mm reels).                                                         I need _____DVD(s) @ $10 each------------$________ Part 3: Additional Copies        I'd like additional sets of DVDs _____ copies x ______ DVDs in a set---------------------$______ Example:  3 copies of a 2 set DVD.  3 x 2 = 6  x $10 per DVD = $60 Each DVD can hold up to 1 hour of film (approximately 14-15 reels of 8mm). If you wanted 3 copies of an 8mm, 25 reel transfer, then each set would have 2 DVDs.      Part 4: Return Shipping Flat Rate Return Shipping, Just---------------------------$10.00       Sent via UPS Ground with Delivery Tracking Number-----------------$12.00       or via US Postal Service, Priority Mail; __Send Signature Required, Add------------------------$7.50       Your transfer will not be left unless someone is available to sign for  the delivery. ORDER TOTAL:------------------------------------------$_________

I have read & agree to the Terms & Conditions. I own the images on this film or am authorized by the copyright owner to duplicate this film                                    ______             -Signed _____________________-Dated