Custom Printed Blank CD/DVD Order Form

Custom Printed Blank CD/DVD Order Form
Print this form out, fill in, sign and send with your check or money order to:
High-Tech Productions 699 NW 9th Ave. Boca Raton, FL 33486
* Florida residents add 6.5% sales tax to total of order. Please Print Clearly. Questions? Call 800 662-8336

Name:
Company:
Address:
City:	State:
Zip Code:
Home Phone:	Area Code:
Work Phone:	Area Code:
E-Mail:

Payment Options:
Check, Money Order, MasterCard, Visa, AmEx, Discover

Credit Card Number: xxxx-xxxx-xxxx-xxxx

Exp. Date: Month Year

3 or 4 Digit Bank CID Code (on Card)

Choose Graphic or Logo or Background Image

What would you like printed on the Disc's?	Type Size	Type Style
Line #1
Line #2
Line #3

What Type of Disc's do you Need?

Price Each

Total

Number of Copies Needed?

If you are using your own art work, 1 time set-up fee

$25.00

Shipping/handling for Custom Disc Printing.
100 - 250 Disc's = $16.50	501 - 1000 Disc's = $40.25
251 - 500 Disc's = $28.75	1001 - 2500 Disc's = $59.90
2501 & up = Call us for rate.

Sub Total

Shipping

Total

Please read and sign. I hereby authorize High-Tech Productions to custom print CD/DVD's as outlined above. I own all rights to any graphics which I have submitted for printing and will not hold High-Tech Productions liable for copyright infringement. I assume full responsibility for obtaining releases when required for sale and distribution. I hereby agree that the handling, processing and packaging is without warranty or liability, furthermore, I agree to hold harmless and indemnify High-Tech Productions for any and all liability and/or claims arising from this transaction. I have read and agree to the High-Tech Productions Returns Policy. If I am paying by credit card, I authorize the charges for the costs associated with this order including shipping/handling and any applicable taxes.

Authorized Signature___________________________________________ Date____/____/____

Remarks & Special Instructions: