Film/Video to DVD Transfer - DVD Authoring

Complete this form for each DVD.

PLEASE PRINT LEGIBLY

Customer Name: ___________________________

Film/Video #s on this disk:__________________________________________

(#’s from labels affixed to the reels/tapes when you put them in transfer order.)

DVD Menu Introduction/Title (Free):____________________________________

___________________________________________________________

30 characters maximum

Extra Charge Options

Title printed on cover jacket:___________________________________

_________________________________________________________

30 characters maximum

Title printed on surface of disk:_________________________________

_________________________________________________________

30 characters maximum 

DVD Navigation Menu Chapter Titles.  60 characters maximum each.

Chapter 1:_______________________________________________________

Chapter 2:_______________________________________________________

Chapter 3:_______________________________________________________

Chapter 4:_______________________________________________________

Chapter 5:_______________________________________________________

Chapter 6:_______________________________________________________

Chapter 7:_______________________________________________________

Chapter 8:_______________________________________________________

Chapter 9:_______________________________________________________

Chapter 10:______________________________________________________

Attach additional sheets as necessary for more chapter titles.