Digital Conversion Order Form Order No...........

Name : ___________________________________________

Address :___________________________________________ email : ______________________

Telephone : ________________________________________

I instruct CopyCatsBiz to convert the following material to digital format :

Title (to be used on cover) : Special instructions :

1.________________________________________________ ____________________________

2.________________________________________________ ____________________________

And record the conversion on DVD CD

In DVD-R DVD+R other

Extras :

Extra copies :_______________________________________ Extra Covers________________________________

Other : _______________________________________________________________________________________

Copyright Declaration

I, the undersigned, _________________________understand that this conversion of material is for personal use
only. In no way can CopyCatBiz be held responsible for any violation of copyrighting laws as a result of this
format conversion.

Date :_____________________________ Signature : __________________________________________

UPON COMPLETION, PLEASE PHONE ME ON THE ABOVE NUMBER or EMAIL ME AND I WILL
COLLECT.

UPON COMPLETION, PLEASE RETURN MY MATERIALS BY ORDINARY MAIL

ORDINARY MAIL (INSURED) for R______

COURIER SERVICES

QUOTATION and COLLECTION SLIP - Order No ____________

Qty Description Unit Price Amount NOTES

Format conversion Analog 2
Digital
Extra copies
Extra covers
Web or Blog design
Photograph copy
Document Copy
Other
Sub Total
Less Dep
received
TOTAL