FIRST NAME

LAST NAME

STREET ADDRESS (address to mail your order to)

CITY

STATE

ZIP CODE

PHONE

EMAIL

YOUR PAYPAL EMAIL ( If you are paying via Paypal )


1. WHAT FORMAT DO WANT YOUR SHOW TO BE IN?
If you are unsure of which format of DVD you need, simply check DVD-R below (first selection).
Most all DVD players read DVD-R format but a there a few that read only DVD+R (not many).
If in the RARE event it won't play, return it within 7 days & we'll send you another in DVD+R format.
Check DVD-R if you are unsure which format DVD you need (first selection).
Check one:
DVD-R (Most players read DVD-R. Choose this option if you don't know format your DVD player reads)
DVD +R (A few players read only DVD+R. Choose this option if you know you have a DVD+R only player)
VHS TAPE (If you want it on tape instead of DVD disc, select this one.)

2. NUMBER OF PICTURES  TOTAL TO BE INCLUDED ON YOUR DVD ( From 10 to 140 pictures ):

*We recommend a minimum of 20 pictures. You may include a maximum of 140 pictures.

3. IN WHAT FORMAT ARE YOUR PICTURES? / HOW MANY OF EACH? / HOW SENT TO US?
You can send regular photos and/or  digital pictures on CD.
Check all that apply and enter the number of each:

Regular Photographs included with this form.
Enter Number of regular photographs:

and/or

Digital Photographs on a CD included with the form.
Enter Number of pictures on CD:

4. DO YOU NEED YOUR PICTURES TO BE IN ANY SPECIFIC ORDER?
*We recommend you select "No Specific Order Required" below (first selection).
Having your pictures play in a Random Order is more enjoyable to watch typically.

No Specific Order Required: Random Pictures. (Recommended - Makes a more interesting show)
If you checked No Specific Order Required Above (recommended), .... Skip to number 5.

"or"

Yes, I Want Pictures to be in a "Specific Order."
If you checked Yes I Want Pictures to be in a "Specific Order" ... Continue below:
If Regular Photographs: I have numbered the back of each photo for you.
If Pictures are on a CD: I have burned my pictures in the order I want them to appear.
I need to give you special instructions about my pictures & their order in which they are to appear:
Optional: Enter any special instructions in the 2 boxes below: 



5. WHAT "MOOD" OF MUSIC BACKGROUND DO YOU NEED? / CHECK ONE:

6. SELECT PAYMENT TYPE:

MONEY ORDER ENCLOSED

CHECK ENCLOSED

I SENT PAYMENT BY PAYPAL.
MY PAYPAL EMAIL ADDRESS IS:

I WILL SEND PAYMENT BY PAYPAL SOON.
MY PAYPAL EMAIL ADDRESS IS:

7. DO YOU NEED YOUR ORIGINAL PICTURES SENT BACK TO YOU?:
YES -   MAIL THE ORIGINAL PHOTOS & CD BACK TO ME WITH MY ORDER.
NO -    I DO NOT NEED ORIGINALS SENT BACK TO ME.

8. TITLE ( OPENING BLACK SCREEN ) WORDAGE TO READ:
(Examples: Our Trip to Mexico 2005 / Joe & Mary Get Married / The Smith Family Reunion ... etc)
ENTER YOUR TITLE WORDAGE HERE:


9. ENDING CREDIT ( CLOSING BLACK SCREEN ) WORDAGE TO READ:
(Examples: Thanks for watching! / The end / Together Forever / This production brought to you by Jane Smith ... etc)
ENTER YOUR ENDING CREDITS WORDAGE HERE:


10. ANYTHING ELSE YOU NEED TO TELL US ABOUT ANYTHING CAN BE ENTERED HERE:
optional:



11. ADDITIONAL COPIES NEEDED (add $10 for each additional copy):

NO 

YES
IF YES: PLEASE ENTER NUMBER OF THE EXTRA COPIES WANTED:

IF YES: CHECK FORMAT WANTED FOR  THE EXTRA COPIES:
DVD-R  VHS     DVD+R

12. TOTAL AMOUNT ENCLOSED OR SENT VIA PAYPAL:

*To figure your total simply count number of pictures in your show & multiply by $1 each.
Example: 90 pictures = $90 / 20 pictures = $20 / 140 pictures = $140 ... etc.

If you have selected to receive additional copies, add $10 per extra copy to total of the original DVD.
Example: No additional copies = $0 extra / 2 additional copies = $20 extra / 10 additional copies = $100 extra...etc.

A. NUMBER OF PICTURES SENT  "times" $1.00 =
( Total amount of pictures sent multiplied times $1)

B. NUMBER OF EXTRA COPIES "times" $10.00 =
( If no extra copies are wanted leave blank - no extra charge )

C. TOTAL ENCLOSED OR SENT VIA PAYPAL  = 
( Add A + B together for total amount due )

13. MAIL THIS *FORM, *PICTURES & *PAYMENT TO:
Rich Cantrell
449 Mason Road
Medina, TN 38355

PAYING BY PAYPAL:
You may send Paypal payment now so we already have it when
ORDER FORM & PICTURES arrives to us in mail.

*Please include BRIEF NOTE with name, address & EMAIL with your Paypal payment.
*Paypal will give you a comment box so you can add this note during the transaction.
*We will match your order form's name, address & email to the paypal payment receipt.

*If we receive your order form& pictures  BEFORE you have sent Paypal payment,
we will wait for your Paypal payment to be received by us before we begin DVD.

*If we receive your Paypal payment BEFORE we receive your order form & pictures,
we will match order form, once received to Paypal payment receipt before we begin DVD,

*To pay via Paypal, log-on to to: www.paypal.com
(Paypal has instructions on how to pay using a credit card or bank account )
*PayPal Payment should be sent to our email: richcantrell2003@yahoo.com

Order Form may take more than one page to print so simply send all the pages!

Questions? Email Me: Click Here
Checks must clear / Paypal orders processed right away