Please mail all orders to
International Video
546 Crossen Ave
Elk Grove IL 60007

Video to DVD order form

Please fill out the form below and print it. You can then send it along with your video(s).  If you have more than one video, please just write a note on the back of the form with order details for each video. You don't need to fill out a separate form for each video, but please make sure that you clearly indicate what you would like us to do with each video.

Shipping Information:

 Name:

Company Name:

Address:

City:

State/Province:

Zip/Postal:

Country:

Email:

    Cell Phone:

Home Phone:

  Work Phone:

Tape Information:

Standard DVD-R Service ($19.00)              

My original tape is:        

If your original is in the Pal format (Check this box )  add $5.00
Pal format is used in many foreign countries

Please indicate any special instructions here: IF you want the dvd to be Pal Format to play outside of North America in the Pal format, please also say so here. There will be a $5 charge for this service. 

We can put up to 2 hours of video footage on DVD.  If you would like to send more than 1 video and combine them on one dvd we can do that. Below please tell us how many cassettes will be combined on the DVD.
The number of videos:        Total tape length must be 2 hours or less.

Title Printed On DVD.   $ 5.00  

A regular jewel case comes with at no charge, upgrade to a plastic protective case is extra.
Protective Plastic DVD Case  $5.00 (Check box to add) 

A photo and title on the DVD Case.  $10.00  
Please include a picture that you would like on the dvd case

Chapter marks will be put in every six minutes at no charge.
If you wish to specify Chapter start and end times  (Each specified chapter is $5)
Each chapter can will have a title
Please write them on a separate paper exactly where you want chapter marks and title for each.
Number of specified chapters:  @ $5.00 Each

 Additional Copies:
Number of VHS copies:  @ $7.00 Each
Number of Video CD copies:     @ $15.00 each
Number of additional DVD copies:  @ $10.00 Each

USA Shipping: UPS Ground ($9.00) UPS 3 Days Select ($15.00) UPS 2nd Day ($21.00)  UPS Next Day Air ($29.00)

Payment:

Please add up total price of order:  $

If sending a check, please make it payable to international video and  include it with your order. If paying by credit card, please fill in the information below.

Name on card:     Credit card #:   Exp Date:

PRINT

Disclaimer:  Please read before ordering. 
By mailing your cassettes to us and placing an order you agree to the following Conditions.  We (International Video & Electronics) worldconversions.com will make every effort to treat your order with the highest level of importance and will try to insure your cassettes safety in everyway possible.  However International Video will not be liable for any loss, or damage of videos. In the event that a video is lost or damaged International Video will only be liable for the cost of a blank video cassette or DVD.
By mailing my videos I assume full responsibility for obtaining releases when required for sale and distribution. I hereby agree that the handling, processing and packaging is without warranty or liability, even though defects, damage or loss by negligence or other fault may occur, furthermore, I agree to hold harmless and indemnify International Video for any and all liability and/or claim arising from this transaction. If I am paying by credit card, I authorize the charges for the costs associated with this order including shipping/handling and any applicable taxes. I also understand that DVD transfers are not refundable because of incompatibility.