Video-to-DVD Customer Information Form
High Impact customers, please fill out and submit one form for each 2-hr DVD.
Name:
Company:
Address:
City, State, Zip:
E-mail:
Phone:
Chapter 1
Chapter 2
Chapter 3
Chapter 4
Chapter 5
Chapter 6
Chapter 7
Chapter 8
Chapter 9
Chapter 10
Chapter 11
Chapter 12
Chapter 13
Chapter 14
Chapter 15
List the original videos that will be tranferred to this DVD. (2 hour limit per DVD). Entries need to match the current labels or titles. If originals are not titled or identified, please label them prior to drop-off.
What is the title of this DVD? (For example; "Smith Family Videos 1", "Smith Family Videos 2", and so on). (Limit of up to 40 characters).
In order from first to last, please tell us how to title each chapter (scene) of your DVD. (Limit of up to 44 characters).
Click Submit to send us your information in e-mail. You can also print a copy for yourself using your browser's print function.
