Videobrite Printable Video Duplications Order Form


	5 min	10 min	30 min	60 min	90 min	120 min	160 min	180 min
5-14	5.95	6.45	6.95	7.45	7.95	8.45	9.45	9.95
15-24	4.95	5.45	6.45	6.45	6.95	7.45	8.45	8.95
25-49	3.95	4.45	4.95	5.45	5.95	6.45	7.45	7.95
50-99	2.95	3.45	3.95	4.45	4.95	5.45	6.45	6.95
100-199	2.75	2.95	3.25	3.75	4.25	4.75	5.75	6.45
200-299	2.45	2.75	2.95	3.45	3.95	4.45	5.45	5.95
300-499	2.25	2.45	2.75	3.25	3.75	4.25	4.95	5.45
500-999	1.95	2.25	2.55	2.95	3.45	3.95	4.75	5.25
1000 +	1.75	1.95	2.25	2.75	3.25	3.75	4.45	4.95

Master	Number of Copies	Output

Same master, different output.
Same master, different output.

To order copies from a different master, please print another order form.
Please note that rates vary depending on master format and output format, as well as number of copies ordered.
To view a complete list of video duplication rates, please click here.

do you want custom labels printed and installed ($.50 per copy)	Yes No
will your labels include graphics? ($39.95 graphic Setup Fee)	Yes No

text for spine label

text for window label

additional instructions
Please include instructions for label graphics and text, as well as any other instructions.

return shipping method	FedEx UPS Ground
*I authorize a charge for shipping of up to* $25.00 for this order.**	Yes, I do. No, please contact me.

Pre-Tax Subtotal	$
Tax (California residents please include your local sales tax)	$
Pre-Shipping Subtotal	$

billing address

NAME:
ADDRESS:
CITY:		STATE:
ZIP:
HOME PHONE:
WORK PHONE:
E-MAIL ADDRESS:

credit card information

CREDIT CARD
CARDHOLDER NAME
CARD NUMBER
EXPIRATION DATE SIGNATURE:	X____________________________________________

shipping address
( if different than billing address)

NAME:
ADDRESS:
CITY:		STATE:
ZIP:
PHONE:

please print this form and send with your order to;

videobrite
959 W. College Avenue
Santa Rosa, CA 95401

Thank You!

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