Keepsake Video Photo Transfer Order Form
Please print this form and attach it with your order.

1. Please complete form, print it out and return it with your order
 
NAME:
ADDRESS:
CITY: STATE:
ZIP:
HOME PHONE:
WORK PHONE:
E-MAIL ADDRESS:
 
2. Number of Photos

 

Each 10 photos will equal about 1 minute of video.
NOTE: Be certain to number your photos before submitting them.

3. Return Shipping Preference:


 

4. How many total copies should we produce for you?

 
By our transfer method all copies are 'originals'. Most families order one copy for the parents and one for each family member.

How did you find us?

5. Please provide song title, track. album, etc. If songs match a certain segment of pictures, please specify which song accompanies each set of photos. If more room is needed, please use back of form.
Song 1:
Song 2:
Song 3:
Song 4:
Song 5:
Song 6:

 Titles: List opening, closing and titles on the back of this form along with any special instructions.

6. Payment options:

Credit Card number:

Expiration Date (MMYY):

Card Security Code: 
Name as it appears on the credit card for this purchase.

7. Please print and mail to:

Keepsake Video
361 East Parkwood Ave
Friendswood, TX 77546

Questions? Please e-mail us or call:

281-482-2400
 or toll free:
888-332-5733

Terms and Conditions: When submitting videotapes, films, slides or any other media to us whether for duplication, conversion, repair, video transfer or for any other reason, client acknowledges and agrees that Keepsake Video and any individual or business affiliated with Keepsake Video shall not be liable for any loss or damage to such materials following receipt and during processing of such materials (even if due to our fault or negligence) and that the client’s sole remedy shall be replacement with a similar amount of blank video tape. Keepsake Video makes no other warranty and assumes no other risk and shall not be liable for any indirect special, incidental or consequential damages resulting from client’s use of our services. This agreement excludes specifically any counteroffers by client including (without limitation) statements of value in excess of replacement cost of a similar amount of videotape or requests for special handling. Client warrants that the videotape, film, photos, slides or other media submitted to Keepsake Video for processing is not protected by a third party copyright owner or if protected, the client has obtained permission of such third party copyright holder to make copies. Client also agrees to protect and indemnify Keepsake Video (or it's assignees) from any costs related to copyright infringement. Shipping and handling charges will be added to your order. Note: Texas residents please add 8% state sales tax.  I have read the agreement and submit my order to Keepsake Video in accordance with the preceding terms and conditions:

8. X__________________________________________________________Date__________________
Please print this form and attach it with your order.