Keepsake Productions-Order Form

Order Form

CONTACT INFO
Name:
Email Address:
Alternate Email Address:
Address:
City, State, Zip:	, ,
Home Phone:	- -
Work Phone:	- -
Cell Phone:	- -
Ship to Address: (if same as above, please enter "same")
Ship to City, State, Zip:	, ,
Best way to contact you?
If other, please explain:
Is this order a surprise for someone who lives with you?	Yes No
If yes, please give special instructions below.
Special Instructions/Comments:
How did you hear about Keepsake Productions?
Which service would you like to order?

Please select the link to which you are ordering and you will be directed to the correct form:

PHOTO MONTAGE ORDER
Please select package number:
Occasion for purchasing video: (Anniversary, Christmas, Wedding, Graduation, etc.)
Date of occasion:	/ /
Name of person(s) for whom are you purchasing this video?
How many photos do you need scanned?	@ .40 per photo
How many songs do you need converted?	@ 3.00 per song
How many photos need retouched?	@ 3.00 per photo
How many pages of captions do you need? (does not include title pages)	@ 1.00 per page
How many extra video clips do you need?	@ 5.00 per clip
How many extra photos (over 200) do you need?	@ 1.00 per photo
How many DVD copies would you like?	@ 19.95 per DVD
Special Instructions/Comments:

If everything above has been answered and you are comfortable with your selections, please proceed to the bottom to submit this form.

Photo Montage

VHS to DVD
Transfer

Photo Restoration

Keepsake Productions
Monroe, MI 48162
(734) 735-3222