EverMedia
Multi-media Services
Video to MPEG2
Order Form
(Valid until end Dec 2008)

Please print, complete and send this form together with your payment and video tapes to:
EverMedia Ltd, A3, Moor Lane Business Centre, Moor Lane, Widnes, Cheshire, WA8 7AQ, England, UK

Name & Address
EverMedia does not disclose your information to any third-parties.

Name		Official Use Only:
Company
Address
Post Code
Telephone (Day)
Telephone (Evening)
Email
Date Conversion(s) Required by
Please help us serve you better by filling our quick survey below. Thank You
How did you learn about our service?	[  ] Internet Search Engine _______________ [ ] Newspaper Reviews ________________ [  ] Recommended By ___________________ [  ] Returning Customer [  ] Other _____________________________
How do you rate our web site?	[ ] Informative [ ] Easy to use [ ] Tidy [ ] Needs more information [ ] Not easy to use [ ] Untidy Other Comments:
What attracted you to use EverMedia?

Please include titles for each tape along with any special instructions (or attach separate sheet).

Order Items
Description	Qty	Unit Price	Total
No of tapes or clips included in the order for conversion to MPEG2 *Note: This charge does not apply if only one tape or clip requires conversion	__	*£5.00	£______
Total number of hours (or part of) to be converted to MPEG2 - TRIMMED	__	£21.50	£______
Total number of hours to be converted to MPEG2 - UNTRIMMED	__	£17.50	£______
Tape Surcharges (No Surcharges for PAL: VHS, VHS-C, Betamax, MiniDV, Video 8, Hi8, Digital 8, SVHS tapes) For DVCam, Betacam SP or U-Matic Add £9.00 per source For MicroMV add £3.50 per tape. For NTSC: MiniDV, Hi8, Video 8 Add £4.00 per source.	__	£____	£______
TV System Conversion Options: [ ] NTSC to PAL Conversion [ ] PAL to NTSC Conversion	__	£5.00	£______
Splitting of MPEG2 file into smaller segments £5.00 per segment	__	£5.00	£______
Clipping out Overscan area (per tape) Applies to MPEG2 Trimmed service only. Normally the overscan area at the bottom of all videos is not visible on TV sets but becomes visible when viewing MPEG files on your PC or MAC. This service enables cutting out the overscan area to provide cleaner results specially for presentations or serving on the web.	__	£7.50	£______
Additional Copies DVDs @ £5.50 each , CDs @ £4.00 each For quantities over 5 please contact us for discounts	__	£____	£______
Rush Job Surcharge (per tape/order) 3 Days @ +10%, 2 Day @ +20%, 1 Day @ +30%, Same-Day @ +40% Subject to availability – Please check prior to placing order	__	£____	£______
Risk Free Delivery Service Approximately £5.00 for first tape + £1.00 per additional tape Please call for pricing or exclude and we will bill on delivery.	__	£____	£______
Total Order			£______

Order Confirmation

I have read, understood and agree with the terms and conditions of service (as published at www.EverMedia.co.uk).

Please Tick one:
[ ] I am enclosing a cheque/postal order for £_______ made payable to "EverMedia".
[ ] I would like to pay by Credit Card online using PayPal secure payment system. I understand this is subject to 4% surcharge. Please send PayPal invoice to my email address.
[ ] Inform me of the final costs and I will send full payment within 48 hours of notification.
[ ] Invoice my company [ ] by email to _______________________ (email address)
(Terms: 7 days) Our Order Reference __________________________

I accept full responsibility for the content of my original videos being copied or converted to the requested media. 

Signature _______________________________ Date __________________