Mail together with your original format to:
Pix & Dubs
30262 Crown Valley Pkwy. #C
Laguna Niguel, CA 92677
or fax to: 949 495 2065

Fill Out
& Print
this form

 


Transfer Length
1-10
11-20
21+
1 Hour
$24.99ea.
$19.99ea.
$15.99ea.
2 Hour
$29.99ea.
$24.99ea.
$19.99ea.

Packaging
Generic Standard Custom
Free $5.99 $9,99
  DVD-R's
Quantity
 Generic
 Standard Custom
1 - 10 $9.99ea. $10.99ea. $11.99ea.
11 - 50 $ 8.99ea.
$ 9.99ea.
 $10.99ea.
51 - 100 $ 6.99ea. $ 7.99ea. $8.99ea.
101 - 200 $ 4.99ea. $ 5.99ea. $6.99ea.
201 + $ 2.99ea. $ 3.99ea. $4.99ea.

Please call with any questions:(949) 495 2016    Toll free (877) PIXDUBS (749-3827)
(If you have special instructions or additional info please attach).
NOTE: $10.00 cueing/stacking fee (per cue) applies when transferring multiple tapes to one DVD-R master.

Your Original Format
(please enter how many videos you are sending)

VHS Qty:          Mini-DV qty:               Hi-8 qty:            8mm qty:

Mini-DV qty:         Digital 8 qty:          S-VHS qty:

Other (specify) qty: Other (specify) qty:
Cueing/Stacking How many? $10.00 per tape cueing/stacking fee for multiple tapes transferred to one DVD-R master.
Packaging

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

Standard - Standard $6.99* Your title on cover and disc.

Custom - Custom $9.99 Your title and picture on cover and disc.
(One time set up for master disc only) (Be sure to enclose photograph to scan for front cover)
Additional DVD's Qty. of copies?
Label/Cover info
Label info
Cost

NOTICE:

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


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_____________