<%@LANGUAGE="JAVASCRIPT" CODEPAGE="1252"%> PHOTODVDS.CO.UK - Your Photos Viewed on DVD Video


Order Form

Please fill out the form online, then print it out and send it to us. This will allow us to process your order more efficiently, and will reduce the risk of mistakes being made due to handwriting! Thank you
 
Your Personal Details:
Name:
Address
 
Mob:
E-mail:   
Cardholder Name: Inform me of full cost before charging my card  
(as it appears on card)
Credit Card Number:
Start Date:
(if known)
/ (mm/yyyy)
Expiry Date: / (mm/yyyy)
Issue Number:
(Switch/Solo only)  
CVV2 :
(Last three digits on the back of your card) 
Card type:
   
How do you want your DVD to appear? 
Movie Title:
(16 characters max.) 
   
Chapter  Title No. of Pictures 
A  
B  
C  
D  
DVD Preference
(if any):
DVD+R DVD-R  
Number of Copies:    
       
The Information you are sending us
Supplied Format: Disk  
  Photos  
  Memory Card  
       
Other / additional information
     
I have read and accept the Terms and Conditions (This MUST be ticked)  
Signed Date  

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