Keepsake Video Foreign Standards Conversion Order Form
Please print this form and enclose it with your order.

1. Please complete form, print  and return it with your order:

2. Please list the country that you will be viewing this tape in:

In what tape format do you want this conversion? 

3.Return shipping and handling preference:

4. How many total copies should we produce for you?

5. Payment Options:
Credit Card Number:
Expiration Date (MMYY):

Card Security Code: 
Name as it appears on the credit card for this purchase.

Note: Texas residents please add 8% state sales tax.

6. How did you find us?

7. Please complete this order form, print and enclose it with your order:

Keepsake Video
61 East Parkwood Ave
, TX 77546

Questions? Please e-mail us or call:

or toll free:

Terms and Conditions: When submitting videotapes, films, slides or any other media to us whether for duplication, conversion, repair, video transfer or for any other reason, client acknowledges and agrees that Keepsake Video and any individual or business affiliated with Keepsake Video shall not be liable for any loss or damage to such materials following receipt and during processing of such materials (even if due to our fault or negligence) and that the client’s sole remedy shall be replacement with a similar amount of blank video tape. Keepsake Video makes no other warranty and assumes no other risk and shall not be liable for any indirect special, incidental or consequential damages resulting from client’s use of our services. This agreement excludes specifically any counteroffers by client including (without limitation) statements of value in excess of replacement cost of a similar amount of videotape or requests for special handling. Client warrants that the videotape, film, photos, slides or other media submitted to Keepsake Video for processing is not protected by a third party copyright owner or if protected, the client has obtained permission of such third party copyright holder to make copies. Client also agrees to protect and indemnify Keepsake Video(or it's assignees) from any costs related to copyright infringement. Shipping and handling charges will be added to your order. Note: Texas residents will be charged 8% state sales tax.  I have read the agreement and submit my order to Keepsake Video in accordance with the preceding terms and conditions:

8. X_____________________________________________________________Date______________________
Please print this form and
enclose it with your order.