Print this form, fill it out, and send it in, to place your order

The Duplication Station
Audio and Video Labels Order Form
The Duplication Station at Mcmix Production Services
2878 Jonquil Drive
Smyrna, GA 30080
(770) 436-9620

Client Name: __________________________________________________
Company Name (if applicable): ___________________________________
Address: _____________________________________________________
Address: _____________________________________________________
City: ___________________________ State or Province: ______________
Zip or Postal Code: ____________
If we have QUESTIONS about your order, how would you prefer to be CONTACTED?
PHONE: day. (____)__________ eve. (____)____________EMAIL:________________


Step # 1: How many labels do you need and information to be printed on labels.

Quantity Description Unit price
______ 2 up CD labels$ 2.25
______12 up audio cassette labels$ 2.25
______12 up video cassette labels$ 2.25
______12 up video cassette spines$ 2.25

Color labels are available-add $1.00 per sheet
Available colors (Check one) Peach____, Light Blue____, Lavender____,
Aqua____, Green____, Gray____, Red____, Yellow

Information to be printed on labels

CD label: progressivly widening from 20 characters to 40 characters wide, 5 lines at top of label, 5 lines at bottom of label
________________________________________________________
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Audio cassette: MAX 40 characters wide, 5 lines at top of label, 2 lines at bottom of label
________________________________________________________
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Video cassette label: MAX 40 characters wide, 7 lineson label, ________________________________________________________
________________________________________________
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Video cassette spine: MAX 60 characters wide, 4 lines on label, _____________________________________________________________________________
__________________________________________________________________
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SUB-TOTAL:$______________
GA Residents add 5% Sales Tax Subtotal x .05

Shipping & Insurance:$_____________
(U.S. Residents: $1 for each CD. If less than $5, enter $5)
(Canadian Residents: $2 for each CD. If less than $10, enter $10)

U.S. orders ship USPS Priority Mail Air/Canadian orders ship Parcel Post Air

TOTAL:$___________
(we accept payment by Visa/Mastercard, Cash, Money Order, or Check )

Step # 2: Read the terms set below and sign and date the form.
Term & Conditions

I have read the above terms & conditions.

Signature: _______________________________________ Date: __________________

Thank You for your order!!