Order Form

Please print this form and enclose it with your order.
1. Please complete this form,  print  and return it with your order:
NAME:
ADDRESS: 
CITY:  STATE: 
ZIP: 
HOME PHONE: 
WORK PHONE: 
E-MAIL ADDRESS: 
2. Please indicate if you would like to include State of The Art Noise Reduction with your order:
3.Return shipping and handling preference:


4. How many total copies should we produce for you?

Any Special Instructions:

5. Payment Options:

Credit Card Number:

Expiration Date:  

Name as it appears on the credit card for this purchase. 

6. How did you find us?

If search engine, which one did you use?

7. Please complete this order form, print and enclose it with your order:

Send to:
Broadcast Consumer Services
19440 Amhurst Ct.
Cerritos, CA 90703

Phone: (562) 239-3053 Fax: (562) 239-3054

Contact: Customer Service
Terms and Conditions: When submitting videotapes to us for transfer to DVD, client acknowledges and agrees that Broadcast Consumer Services and any individual or business affiliated with Broadcast Consumer Services. shall not be liable for any loss or damage to such materials following receipt and during processing of such materials (even if due to our fault or negligence) and that the client's sole remedy shall be replacement with a similar amount of blank video tape. Broadcast Consumer Services makes no other warranty and assumes no other risk and shall not be liable for any indirect special, incidental or consequential damages resulting from client's use of our services. This agreement excludes specifically any counter offers by client including (without limitation) statements of value in excess of replacement cost of a similar amount of videotape or requests for special handling. Client warrants that the videotape or other media submitted to Broadcast Consumer Services for processing is not protected by a third party copyright owner or if protected, the client has obtained permission of such third party copyright holder to make copies. Client also agrees to protect and indemnify Broadcast Consumer Services (or it's assignees) from any costs related to copyright infringement. We reserve the right to refuse video tapes that contain material deemed objectionable by Broadcast Consumer Services. Shipping and handling charges will be added to your order.

I have read the agreement and submit my order to Broadcast Consumer Services in accordance with the preceding terms and conditions:

8. X_____________________________________________________________Date______________________ 

Please print this form and enclose it with your order.