Movie Transfer Mail Order Form First Name: Last Name: Date
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Ross Imaging Center 3000 Whitney Ave Unit #1 Hamden, CT 06518 (203)281-6996 Movie Transfer Mail Order Form First Name: Last Name: Date: Phone Number: Email Address: Order Comments/ Instructions: Opening Title: (one letter per box) Select Transfer type: Movie Film Transfers to DVD or Blu-Ray (If order sent is less than 400ft we will transfer what is sent, however, you will still be charged for 400ft.) Check Film Types (Please look at chart to Number of reels Reel Size (in ft.) determine what film type) 8mm (120 mins.) = 1600 ft. 50 ft. 100 ft. 200 ft. 300 ft. 400 ft. Super 8mm (120 mins.) = 2000 ft. 50 ft. 100 ft. 200 ft. 300 ft. 400 ft. Super 8mm Sound (120 mins.) = 2000 ft. 50 ft. 100 ft. 200 ft. 300 ft. 400 ft. 16mm (120 mins) = 4000 ft. 50 ft. 100 ft. 200 ft. 300 ft. 400 ft. Other 50 ft. 100 ft. 200 ft. 300 ft. 400 ft. 120 minutes = total time for 1 disc Minimum of 400ft Total: ft. (If order sent is less than 400ft we will transfer what is sent, however, you will still be charged for 400ft.) Select media output: DVD $0.23 per foot Blu-Ray $0.38 per foot .Avi/Mov use chart below Choose One: I would like my film in a specific order and they are clearly labeled #1 through ____ Reels are not numbered and I would like them transferred randomly One disc is included with the transfer. Would you like any additional copies? I would like ___ Copies, ___ Total including the disc that comes with the transfer *only master has outside label LIMITATION OF LIABILITY: Submitting any tangible or electronic media, image, data, file, card, disc, device, film, print, slide, or negative for any purpose, such as processing, printing, duplication, alteration, enlargement, storage, transmission, or other handling, constitutes an agreement that any loss or damage to it by our company, subsidiary or agents, even though by our negligence or other fault , will only entitle you to replacement with an equivalent quantity/size of unexposed photographic film or electronic media, and processing of the replacement media. Except for such replacement, our acceptance of the media, image, data, file, card, disc, device, film, print, slide or negative is without other liability, and recovery for any incidental or consequential damages is excluded. No express or implied warranty is provided. ! Movie Film Transfer to .Mov/.Avi ($0.29 per foot, Minimum of 400ft.) *only master has outside label (Please be sure to include hard drive larger than 32gb or larger, call for details) Check Film Types (Please look at chart to Number of reels Reel Size (in ft.) determine what film type) 8mm (120 mins.) = 1600 ft. 50 ft. 100 ft. 200 ft. 300 ft. 400 ft. Super 8mm (120 mins.) = 2000 ft. 50 ft. 100 ft. 200 ft. 300 ft. 400 ft. Super 8mm with Sound (120 mins.) = 2000 ft. 50 ft. 100 ft. 200 ft. 300 ft. 400 ft. 16mm (120 mins) = 4000 ft. 50 ft. 100 ft. 200 ft. 300 ft. 400 ft. 120 minutes = total time for 1 disc minimum of 400 ft. Total: ft. (If order sent is less than 400ft we will transfer what is sent, however, you will still be charged for 400ft.) Select media output: .Avi (PC) $0.23 per foot .Mov (Mac) $0.38 per foot Run-Off disc $29.95 per disc (___Copies) Videotape to DVD/Blu-Ray/.Avi/.Mp4 (Copy from beginning to end without editing) Tape format: VHS VHSC 8mm tape HI8mm Mini DV PAL Tape to DVD transfer $19.95 $19.95 $28.95 $28.95 $28.95 $54.95 Tape to .Avi/.Mp4 $28.95 $28.95 $34.95 $34.95 $34.95 ———— Amount of tapes: Select media output: DVD DVD and Avi +16.95 DVD and .Mp4 +16.95 I would like ___ additional copies _____ Total copies (including master) Use title on tape Leave untitled Number discs 1 through ___ Video Tape Combining Tapes: Tape format: VHS VHSC 8mm tape HI8mm Mini DV Cost for first tape: $26.95 $26.95 $36.95 $36.95 $36.95 Cost per combining tape $16.95 $16.95 $24.95 $24.95 $24.95 Select return shipping: Subtotal + Connecticut Sales Tax 6.35% Shipping Type Cost UPS Ground $12.95 UPS 2nd Day $24.95 UPS Overnight $34.95 USPS Priority Mail $8.95 LIMITATION OF LIABILITY: Submitting any tangible or electronic media, image, data, file, card, disc, device, film, print, slide, or negative for any purpose, such as processing, printing, duplication, alteration, enlargement, storage, transmission, or other handling, constitutes an agreement that any loss or damage to it by our company, subsidiary or agents, even though by our negligence or other fault , will only entitle you to replacement with an equivalent quantity/size of unexposed photographic film or electronic media, and processing of the replacement media. Except for such replacement, our acceptance of the media, image, data, file, card, disc, device, film, print, slide or negative is without other liability, and recovery for any incidental or consequential damages is excluded. No express or implied warranty is provided. ! Subtotal + Connecticut Sales Tax 6.35% Shipping Type Cost International $20.95 Total Payment Information Payment Type Credit Card Visa MasterCard American Express Discover Select card type >>> Credit Card Number: Expiration: Security Code Number: Billing Postal Code: CVV Number Check Check to “Ross Imaging Center” *orders wont be sent back till checks clear Billing Address First Name: Last Name: Address: City: State: Zipcode: 6. Return Address (If different than Billing Address) First Name: Last Name: Address: City: State: Zipcode: LIMITATION OF LIABILITY: Submitting any tangible or electronic media, image, data, file, card, disc, device, film, print, slide, or negative for any purpose, such as processing, printing, duplication, alteration, enlargement, storage, transmission, or other handling, constitutes an agreement that any loss or damage to it by our company, subsidiary or agents, even though by our negligence or other fault , will only entitle you to replacement with an equivalent quantity/size of unexposed photographic film or electronic media, and processing of the replacement media. Except for such replacement, our acceptance of the media, image, data, file, card, disc, device, film, print, slide or negative is without other liability, and recovery for any incidental or consequential damages is excluded. No express or implied warranty is provided. !.