Order Form USA & Canada call (631) 696-6490 or by cell phone on (631) 258-1518

JUST FILL OUT ORDER FORM AND PRINT
Live Chat  or email us if you need to ask any questions or call  us local rate on (631) 696-6490

1. Complete this form, print & return it with your order.
NAME:
ADDRESS:
CITY:
AREA / STATE
ZIP CODE :
HOME PHONE:
WORK PHONE:
E-MAIL ADDRESS:

2. Choose your return postage options:

3. Payment Options:

4. How did you find us?

5. Please add any comments or questions.

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6.  Enter details for your tapes, films, photos & slides below then add up total cost.  Allow $20 per video tape, $0.20 per foot of movie film, $1 per slide or photograph and then just add return postage.  (per 2.)
DVD TAPE /DVD TITLE (WILL BE USED ON DVD)

TAPE FORMAT OR FILM FORMATS

TOTAL RUNNING TIME TOTAL COST OF DVD ADDITIONAL COPIES @ $10 TOTAL COST
1
2
3
4
5
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7
8
9
10
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12
Add up postage for all your tapes to be returned (see part 2 )
Add Total Postage costs and DVD costs to reach a total and make payable to videotaperepairs.com

 

7. X__________________________________________________________________________________________Date_____________

 I have read and agree to videotaperepairs.com's terms and conditions

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Video Tape Repairs .com
4 Greenbrier Avenue
Farmingville
New York
11738

 

 

 

 

 

 

 

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