Keepsake Video Slides to Video Order Form
Please print this form and attach it with your order.

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


2. Slides must be in Kodak style carousels (80 or 140 count), or marked individually in the order that you want them transferred. Are they?

How many slides are you submitting for transfer?

3. What type of transfer would you like us to produce for you? 

High Resolution Scan
Slide Montage

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

For High Resolution Scan:


For Slide Montage:



By our transfer method all copies are 'originals'. Most families order one copy for the parents and one for each family member.

5. Payment options:


Expiration Date:    

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

For Slide Montage please choose an Opening Title - 

Precious Memories of the Family -- (fill in family's last name)
Family Memories
Family Memories
Other - PLEASE PRINT CLEARLY on back of form.

7. For Slide Montage please choose a Closing Title - 

8. Return Shipping Preference:

9. Please print and mail to:

Keepsake Video
361 East Parkwood Ave
Friendswood, TX 77546

Questions? Please e-mail us or call:

or toll free:

How did you find us?

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 VTI, Inc. and any individual or business affiliated with VTI, Inc. 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. VTI, Inc. 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 VTI, Inc. 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 VTI, Inc. (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 VTI, Inc. in accordance with the preceding terms and conditions:

10. X_________________________________________________Date_______________
Please print this form and attach it with your order.