First Name:  
Last Name:  
Company:  
Address  
Address 2  
City:  
State/Province:  
Postal Code:  
Country:  
Main Phone #:  
Alternate Phone:  
Cell Phone:  
Fax #:  
Your E-Mail:  
     

Quantity &
description of
media sent, such as tape format if known, reel diameter if applicable etc
 

Target Format
(What you would like us to transfer it to)

 

Your Message:

 General instructions etc

NOTE: Fields in Purple are required

 
Labeling Instructions
for CD's & DVD's
(We do not label tapes)
 
 

               

Contact Form

Please use this form ONLY for submitting media.  For general questions, please use standard email.

(The above is an image and not a link, so as to reduce spam.
be sure to include a relevant subject heading)...

We often receive precious tapes where we found no enclosure, handwriting was totally illegible, or critical contact information such as even an email address was omitted. In such cases, all we can do is await the "hate" call wondering why we haven't replied or acknowledged receipt of the materials. We're good at what we do...  just not clairvoyant nor handwriting experts !  If utilized, this form will resolve all those issues...

The info provided to us in this form will never be divulged or sold, nor will information ever become part of any mailing list.  Information collected is ONLY requested so we might have accurate contact information concerning your specific job.

Note: For us to be able to capture your form submission inputs, this page requires the use of Java and allowing the use of ActiveX controls.  Developed by Sun Microsystems ®, Java is a free download at  http://www.java.com/en/download/whatis_java.jsp
Also, it is perfectly safe to allow ActiveX and Java to run on anywhere on our site.  Though you need not understand the technical details, you may be curious to read more about Java, ActiveX, Perl & CGI 
by clicking  HERE

General Instructions

1. Fill out the form... Note: Purple boxes are mandatory . Enter 0 (zero) for postal code if none. If some of the fields are highlighted in yellow, you are probably running Google Toolbar, in which case you can have the toolbar's auto-fill function fill in those fields automatically.

2. You must provide a physical mailing address - UPS will not deliver to a PO Box

3. Once filled out, left click and drag to select just the form. Then selectively print just the form itself.  Include a hard printed copy in with your shipment.

4. Finally:  Click on "Submit This Form"  at the bottom -
 DO NOT include any Credit Card Info

If you make a mistake, rather than "curse" at having to re-enter everything again, just click "return" or "back" on your browser to return to the page you previously filled out and make the corrections ...   All you entered before was not lost !

 

 

 

 

 

 

Last modified Apr 17, 2008

Since 1978 - Copyright © 2003, 2004, 2005, 2006, 2007, 2008 Video Interchange

Terms and Conditions to using this site

Video Interchange
92 George Luce Rd
Waldoboro, Maine   04572

207-832-5064

Note: NEVER send credit card info to us using this form or via email -
Always call it in via telephone landline

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