Order Forms & IPR
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 :
By signing this agreement Customer acknlowledges that he/she has read and accepts Repmedia terms and conditions. Authorized signature date; Federal tax Id # .