Fill In this order form, print it, and send it with your order. Use the shipping labels on the bottom of this form for your convenience.
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Integrated Imaging
1743 East 2nd Street
Casper, WY 82601
307-266-3805 ~ 1-800-780-3805

State:      Zip: 
Ground Shipping ($10.00 - $25.00) E-mail:  
3 Day Air (add $15.00 to ground price) Phone:  
2 Day Air (add $25.00 to ground price) Number of tapes sent
Next Day Air (add $45.00 to ground price) Choose DVD Option (price each)
Other Instructions: Mastered DVD $150.00 1 hour mode (highest quality)
Mastered DVD $150.00 2 hour mode
Recorded DVD $29.95 1 hour mode (highest quality)
Recorded DVD $29.95 2 hour mode
Title for DVD case:
Additional VHS copies of each DVD $19.95 Each
Additional DVD copies of each DVD $14.95 Each
 Payment Information:
Card Type:     Card Number:    CVV Code:  
 Expires:    Name On Card:  
Email me with a total and I'll send a check or give the card # Over the Phone
We also have a secure server for your online convenience. Check here and we will e-mail you with the total amount and you can submit payments online at:
Shipping Label Office use:
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Duplicates   __________
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Other fees ______________________ __________
Shipping and Handling fees: __________
Total for Transfer: __________