Mail together with your original Lp's, tapes, etc to:
Pix & Dubs
30262 Crown Valley Pkwy. #C
Laguna Niguel, CA 92677

NOTICE:

Due to the many configurations with audio transfers, please list the specifics of your order. We will contact
you with an estimate cost for your approval prior
to running the job.

Fill Out
& Print
this form
Please call with any questions:(949) 495 2016   Toll free (877) PIXDUBS (749-3827)
(If you have special instructions or additional info please attach)
Your Original Format
(please enter how many LP's, tapes etc. you are sending)		 LP (33 1/3 rpm) qty:        Single (45 rpm) qty:       Vintage (78 rpm) qty:  
Cassette Tape qty:       1/4" Reel to Reel qty:        DAT qty:  
Other (specify) qty:
Transfer Level
Economy   Standard   Enhanced
Packaging

  Generic (Generic Pix & Dubs Case and DVD Face Label)

  Standard  - Standard B&W - Your Title on Disc (One time set up for master disc only)

  Custom - Custom Color - Your Title on Disc
(One time set up for master disc only. Be sure to enclose photograph/album cover to scan for front cover)
Additional CD's How many copies?
Label/Cover info


   Label info
Applies for standard or custom packing only.
Return Shipping Priority Mail (Up to 3 lbs) US only
Please call for other options and shipments over 3lbs.
Name First Last
Email:  Phone: ( include area code )
Address Address
City State Zip
Type of Payment    MC     Visa Money Order    
Check  (Made payable to "Coliday" - Pix & Dub's parent company)
Credit Card Card No. Exp. Date (MMYY) 3 digit code (on back of card)
Shipping Address
(if different
from above)		 Address
City State Zip:


Signature _____________________________________ Date_______________