For Shipment of Materials for DVD creation, and DVDs for DUPLICATION

Please DO NOT Use this Form for TAPE DUPLICATION. Use the Tape Order Form.
                                                     
Please Print
Your Name ______________________________________________	

Address_____________________________________________________________	

City____________________________________           State _______Zip Code________ 
 
Daytime Phone Number	  (           )
Evening Phone Number	  (           )

Email address: _______________________________________________________________________________

What is the exact nature of the work you want done:  e.g., "I'm sending you two DVDs. Please make 
three copies of each. Keep the printing on the disc the same as the original." Or "I'm sending 
two VHS tapes to be put onto DVD. Please combine onto a single DVD if possible."

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

If other than what is on the face of each DVD you send, what do you want on the DVD copies?  
Please Print your description and the words you want on the face: 

 _______________________________________________________________________________   

________________________________________________________________________________



Payment:

      Because of rising costs for the service, VideOccasions no longer accepts credit card payment. We will email you when the order 
      is ready to ship and you can send us a check. We will ship your order when your check clears.


Please contact VideOccasions with any questions you may have before you send us
your tapes for duplication.

Please print this form, fill it in, and include with your order.

VideOccasions Business Hours

  Monday - Friday     10:00 a.m. to 6:00 p.m., Pacific Time Zone
           Thursday   10:00 a.m. to 4:30 p.m., Pacific Time Zone  
       Please remember:  When it's 10:00 a.m. in New York, it's only 7:00 a.m. in Seattle.


Most of our customers ship film to us via the U.S. Postal Service, although we also receive 
shipments via UPS , Fed Ex and other carriers.  We suggest that
regardless of the method you choose to ship your order you request "tracking" of
the package so that both you and the carrier will know at all times the
whereabouts of the package.

Ship to:                                               Contact: 

     VideOccasions                                     jack@videoccasions-nw.com               
     2806 129th Ave S.E.                               425-641-4811
     Bellevue, WA  98005