Name: Address: City: State: Zip: Day phone: Evening phone: Cell phone: Which is the best Contact number during business hours: Home Work Cell

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1 Customer Info: Submit this form along with your pictures and music. Please print clearly. Name: Address: City: State: Zip: Day phone: Evening phone: Cell phone: Which is the best Contact number during business hours: Home Work Cell How did you hear about Angel Video Memories? Friend: (Whom? We would like to thank them!) Mailer/Flyer: (Brief description) Advertising: Yellow Pages Book Yellowpages.com Goggled Website Other: Is this a surprise gift for someone who might answer the phone number above? Yes No Should your finished DVD be mailed to above address? Yes No. If not, please supply address. Name: Address: City: State: Zip: Event info: Person(s) you are celebrating: Describe the overall purpose of the slideshow and the message & mood you hope it will convey: Type of event: Date of event: Date needed by: Do you want us to rush your order? Our standard turnaround time is 3-4 weeks from the date received. Rush orders please add 20% of order.

2 DVD case and label: DVD main title: DVD disc w/ color label: The DVD disc that you insert in your DVD player Favorite photo: (to be printed onto DVD label.) 1st choice # 2nd choice # DVD plastic case: Durable plastic shell DVD case w/ color jacket Favorite photo: (to be printed onto the jacket sleeve that wraps around the DVD case.) 1st choice # 2nd choice # Introduction slide: (optional) Add a special introductory message to begin your slideshow. Write the text of the intro slide here: Ending slide: (optional) Add a special introductory message to begin your slideshow. Write the text of the intro slide here: (210) Page 2 of 8

3 Captions: (optional) A caption is a few words of text that appear along with a photo. Captions can be a description, a date or even a witty comment. However, too many captions are not necessary and may even annoy your audience. The pictures should be able to speak for themselves and captions should be kept to a minimum! Photo # Caption 17 Oh-Oh you didn t! / a significant date / location of a vacation spot, etc. Chapter Title Slides: (optional) A Title Slide is a few words of text that appear at the beginning of group of pictures. Title slides can be a description of what s to come in the form of date or even a witty comment. Think of Title Slides like the beginning of a chapter in a book what is the next chapter going to be about, what words will best describe it. Songs: How much music do you need? Include approximately 7 10 photos for every 1 minute of music. Time Length of Music Number of Photos 1 min Pics 3 min Pics 5 min Pics Organization Plan: Theme / (Chapter Titles = Optional) Song Title Artist Time Photos Childhood Years Remember When Alan Jackson 4:30 #42-70 (210) Page 3 of 8

4 Organization Plan (continued): Add video: (optional) Video segment: Include home movie video into your slideshow. Unless you tell us to do otherwise, we will replace the audio from the video with background music as if it were simply another photo. Source Format Title of tape/disc Start End Start after End before (hh:mm:ss) (hh:mm:ss) photo # photo # Mini DVD or Digital Baby s 1 st Year 00:10:20 00:13: Audio / Voice over narration: Include voice-over narration in your slideshow. Record the voice of a special friend or relative reading a poem, personal letter, sentimental thoughts, etc. Source Format Titie of tape/disc Start (hh:mm:ss) End (hh:mm:ss) Start after End before photo # photo # Cassette Grandpa Interview 00:02:00 00:06: (210) Page 4 of 8

5 Video or audio media conversion: All tape and disc formats will require a conversion fee since we must convert it into a digital format. You can save this expense by submitting your media clip in a digital file format if you are able. If you need the media file to be edited or shortened, there will be an additional charge for that as well. Contact us with any questions or for additional information. Style preferences: Some clients want fun, exciting, dazzling effects that get attention, while others prefer effects that are subtle, graceful, and elegant but never distracting to the main focus of the photographs themselves. What style of photo effects, backgrounds & transitions do you prefer: Favorite photos: (These may be used for covers, labels, title screens, menus, introduction or ending.) # # # Additional Notes: (210) Page 5 of 8

6 PACKAGE CHOICE Topaz $99 APPROXIMATELY 5 MINUTES Ruby $199 APPROXIMATELY 10 MINUTES Sapphire $299 APPROXIMATELY 15 MINUTES Emerald $399 APPROXIMATELY 20 MINUTES Up to 50 Photos Up to 2 Synchronized Songs High Quality DVD copy Up to 5 Title Slides Up to 100 Photos Up to Synchronized 4 Songs High Quality DVD copy Up to 5 Title Slides Up to 125 Photos Up to 6 Synchronized Songs 2 High Quality DVD copies Up to 10 Title Slides Up to 160 Photos Up to 8 Synchronized Songs 3 High Quality DVD copies Up to 5 Title Slides Diamond $499 APPROXIMATELY 25 MINUTES Up to 200 Photos Up to 10 Synchronized Songs 4 High Quality DVD copies Up to 5 Title Slides (210) Page 6 of 8

7 Additional Options Amount Quantity Total Additonal High Quality DVD Copy $ each x = $ Additional Photos $ 1.85 each x = $ Additional Songs $ 3.00 each x = $ Additional Title Slides $ 3.00 each x = $ Voice Recordings $ 8.00 each x = $ Video Clips $ each x = $ Credit Slides $ 5.00 each x = $ Photo Scanning $ 0.20 each x = $ Slide / Negative Scanning $ 0.50 each x Photo / Document Sorting $ per hr x = $ Additional Optoions Total = $ Package Total (Page 6) = $ SUBTOTAL = $ Less Special Offer = $( ) SUBTOTAL = $ Sales Tax (TX Residents Only) 8.25% $ TOTAL $ Less Deposit ($50.00) Balance Due Upon Completion $ Payment method: Credit Card or PayPal: Make payments online from our website using a credit card or PayPal account. PayPal is Secure and Free!! *Check/Money Order: Make payable to Angel Video Memories and include payment with this order form. *Payment with check will take up to 7-10 days to complete your order video will not be released until final check has cleared. (210) Page 7 of 8

8 Mailing instructions: Send us your photos, music CD s, videotapes and completed order form. Be sure to use adequate packing material and protection for your materials to avoid damage during shipping. We recommend you send your photographs in a box to prevent bending. If you are sending them an envelope please sandwich your photos between two pieces of cardboard and write PHOTOS DO NOT BEND on the outside of the package. We recommend you ship your package using a reliable and traceable shipping service (UPS, FedEx, USPS, etc.) We will do the same when sending everything back to you. Please us or call us if you have any questions. Mail your Order Form, payment and pictures to: Angel Video Memories Encino Knoll San Antonio, TX Order Agreement: Please read the following and sign below: I am entering into an agreement for services rendered with Angel Video Memories to develop a customized DVD slideshow per my order. I understand that full payment is due before delivery of the completed DVD. Angel Video Memories does not guarantee exact placement, sequence or duration of specific photos, for example, that any specific photos will remain on the screen for an exact number of seconds. We cannot be held responsible for any damage to your materials during transportation. I hereby confirm that I have permission to use all photographs, video and musical works in this slideshow; and accept responsibility for copyright liability. Angel Video Memories is not responsible for verifying this information, and is hereby released of the liability. Further, I intend to use this DVD for personal use only - such as at a wedding, family event or graduation open-house and will not be commercially distributed. I understand that copyright law prohibits unauthorized duplication and distribution of this DVD without permission. I acknowledge that I have read and agree to all of the statements in this agreement. Signature: Date: (210) Page 8 of 8

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