1535 Filion , St.Laurent, QC H4L 4E7
CANADA
Date
P.O.Number
Selection Number
Order information
Disc quantity per master
Title of product
Company/Artist
Disac type: CD
Audio ( ) CD-ROM (
) DVD –5 ( )
DVD-9 ( ) DVD-10 (
)
Input media Information: ( ) CD-R (
) DLT ( ) 8MM ( ) 1630 (
) OTHER Premastering Required: (
) yes ( ) no
Size of data:
Standard Turn time 10 to 14 days Rush required
:
Printed Material
CD Front booklet/folder: ( ) Additional insert
( ) Other
Tray Card: ( ) Sticker ( ) Mailer
( ) DVD Outerwrap/booklet
Packaging :Single Jewel box ( ) Slim line
jewel box ( ) Tyveksleeve ( )5"Mailer
( ) Plastic sleeve ( ) CD-ROM Box (
) Other ( ) Slim line double ( ) Viewpack
( ) Shrink wrap ( ) Cellophane wrap (
) Top spine label
CD Artwork films :Camera ready
art: ( ) yes ( ) no Format: ( ) Mac
( ) PC Graphics work required
Colors on disc :( 1).pms#
(2).
(3).
(4).
(5). White background ( ) Fonts:
Proof supplied:
Shipping and billing information
Bill to:
:
Contact Name
Phone #
Fax #
Ship To :
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he/she has read and accepts Repmedia terms and conditions.
Authorized signature date;
Federal tax Id # .
order@repmedia.com
