DVD Sampler Form

DVD SAMPLER FORM
Print this form out, sign and send with your tape to:

Final Video Production
8783 Dalton Ave
Los Angeles, Ca 90047

Your FREE DVD will be processed and shipped within 24 hours, with you tape back.

Name:
Company:
Address:
City:	State:
Zip Code:
Home Phone:	Area Code:
Work Phone:	Area Code:
E-Mail:

Please read and sign. I hereby authorize Final Video Production to transfer this video tape to a DVD. I own all rights to this video and will not hold Final Video Production liable for copyright infringement. I assume full responsibility for obtaining releases when required for sale and distribution.

Authorized Signature___________________________________________ Date____/____/____

Special Instructions:

DVD SAMPLER FORMPrint this form out, sign and send with your tape to:

DVD SAMPLER FORM
Print this form out, sign and send with your tape to: