8mm, Super 8mm and 16mm film transfer

CONTACT INFORMATION

FIRST NAME             M.I.  

LAST NAME       

ADDRESS                 APT.

CITY                   

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 MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY        ZIP       COUNTRY   

PHONE (DAYS)         -    EXT   

PHONE (NIGHTS)      -    EXT   

E-MAIL              

IF THIS TRANSFER PROJECT IS A GIFT FOR SOMEONE AT YOUR LOCATION CHECK HERE   

RETURN SHIPPING CARRIER            UPS              FED X          U.S. POSTAL     

RETURN SHIPPING METHOD             GROUND      2ND DAY     NEXT DAY        

PAYMENT METHOD :  (SELECT ONE)

E-MAIL ME FOR MY CREDIT CARD INFORMATION OR OTHER PAYMENT OPTIONS.

PHONE ME FOR MY CREDIT CARD INFORMATION OR OTHER PAYMENT OPTIONS.

I HAVE ENCLOSED MY CREDIT CARD INFORMATION BELOW :

            NAME ON CARD

            EXPIRATION        MONTH   01 02 03 04 05 06 07 08 09 10 11 12    YEAR   2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

            CARD NUMBER  - - -            PIN #  Located on back of card

            CARD TYPE        VISA MASTERCARD DISCOVER AMERICAN EXPRESS

When you are done filling out this form, use your browser's print function to print it and include it with your project.

Then CLICK HERE to return to the ordering information page.

All 8mm, Super 8mm and 16mm film transfer projects over $200 include FREE return UPS ground postage.

Please enclose a separate page describing any custom options that you might want with your  8mm, Super 8mm and 16mm film transfer project.