PRINT THIS PAGE & SUBMIT WITH PHOTOS.
Make checks or money orders payable to:
Bonnie Harr - W5751 Hoelzel Way, Appleton, Wisconsin 54915
NAME ___________________________________________________________________
ADDRESS ________________________________________________________________
CITY ______________________________ STATE _____________________ZIP________
PHONE _____________________ EMAIL _______________________________________
OPENING TITLE (24 characters max)____________________________________________
SELECT: Widescreen ____ Fullscreen ____
SELECT MUSIC - Name of CD's / song title & track #. Indicate song title on
envelope containing the section of photos it belongs with. Check after title
below whether this song should be purchased on your behalf. Allow 8-10 photos
to be shown per minute of music. (Use back of form to add more music titles.)
1.) ____________________________________ #_____ Purchase: ___ Supplied: ____
2.) ____________________________________ #_____ Purchase: ___ Supplied: ____
3.) ____________________________________ #_____ Purchase: ___ Supplied: ____
4.) ____________________________________ #_____ Purchase: ___ Supplied: ____
Each Photo or Document ------------------------- 2.00 x ___ ______
Title/Text Lines -------------------------------------- .25 x ___ ______
Purchased Song Titles ----------------------------- 3.00 x ___ ______
Duplicate Video ----------------------------------- 12.00 x ___ ______
Disk of All Photos --------------------------------- 15.00 x ___ ______
Subtotal _____________
(WI only) 5% Tax _____
TOTAL $ _____________
I agree that Creative DeZines will not be held responsible for lost, stolen ordamaged items sent
to us. I also agree that Creative DeZines will not be held accountable for copyright infringement
and that I am the owner of the pictures, documents and music I'm sending. I also understand
that I cannot make copies of the produced DVD's because it violates U.S.copyright laws.
I acknowledge I have read, understand and agree to these terms mentioned above:
Signature: ___________________________(required to start project) Date: ______________
