DVD Home Studios Video Form Thank you for your purchase. Please fill out this form, print it. You will need to mail this form along with your videotape. Select A Package VHS Special DVD Package VHC-S DVD Package Basic DVD Package Standard DVD Package Premium DVD Package PAL Videotape to NTCS DVD Standard Package PAL Videotapeto NTCS DVD Premium Package PAL DVDto NTCS DVD PAL Videotapeto NTCS Videotapape Number Of Videotapes 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Title Your DVD Additional Information   Email Address : Shipping Address NAME: STREET: ADDRESS 2: CITY: ZIP: STATE: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MIS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA SC SD TN TX UT VT VA WA WV WI WY PHONE: I accept Terms and Conditions posted online at www.dvdhomestudios.com Signature:______________________________Date___________ Please send your videotapes to the following address: DVD Home Studios PMB 167 8417 Oswego Road Baldwinsville, NY 13027 and enclose this order form. Please allow up to 9 business days for order processing. If you have any question regarding your order, please feel free to contact   us on our contact page at www.dvdhomestudios.com