mid america productions
professional video equipment
video multimedia consumer other services contact
 

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Video Copies/Transfer Form

Fields marked with a "•" are required. Thank you!

•Name:    
•Address: Apt#:  
•City: •State: •Zip:
•Phone: ( )    
•Email:    
•What format is your video/audio in?
•What format do you want your video/audio transfered to?
If you need a PAL/NTSC transfer, please check:     
•How many copies do you want?  
I prefer to be contacted by:       Phone      Email
Please enter any other comments or questions you have concerning this project in the area provided below: