Please provide the following contact information: (Fields with an * denote required information)

Part 1: Contact Information

*First Name
*Last Name
Title
*Organisation
*Work Phone
FAX
E-mail

Part 2: Master Tape Information 

*What system was used to record your original tape?

PAL (Australia, Commonwealth Countries, China, Some EU Countries) NTSC (USA, Japan, Korea, Philippines, Some South American Countries) Secam (France, Greece,North Korea, Russia, Saudi Arabia) Unsure

*What format is your original tape?

VHS Video 8 SP Betacam MiniDV Other (Please Specify)

*Tape Duration (in minutes):

Other:

Part 3: Order Information

*How Many Copies Do You Require?

*Date Required :

-- dd/mm/yy

Time Required :

*On what system will the copies be viewed?

PAL (Australia, Commonwealth Countries, China, Some EU Countries) NTSC (USA, Japan, Korea, Philippines, Some South American Countr Secam

*What tape format do you require?

VHS Video 8 SP Betacam Mini DV Other (Please Specify)

If VHS Format, what packaging do you require?

Cardboard Sleeve Plastic Sleeve Small Library Case Standard Library Case (Fits A-4 Inserts)

If you would like a VHS library case (either small or standard), 
please choose the colour you would prefer:

Black White Clear

Additional Information Regarding Your Order: