HB MEDIA SOLUTIONS VIDEO ORDER FORM
* First Name:
* Last Name:
* Address:
* City:
* State:
* Zip Code:
* Telephone Number:
* Cell Number:
* Email Address:
Fill in the data for the services being requested. Please include the quantity. (optional; a representative will be contacting you to go over your order)


Order Details
VHS VHS-C Hi 8 BETA PAL Laser Disc Mini DV Quantity: @ 8.95 (special holiday price) each Straight Copy
Hollywood Style with Chapters: (Premium) Quantity: @ $24.99 each
Slides/Pictures to DVD - Quantity: @ $0.65 each plus $20.00 scanning fee
Stereo Slides to DVD - Quantity: @ $1.50 per slide
HD/SDHC Cards - Quantity: @ $24.99 each to DVD Blu-ray
Mini DV/HDV/DV - Quantity: @ $24.99 each to DVD Blu-ray
Documents to CD (legal size box) - Quantity: @ $75.00 per box
Hurricane Document Protection Quantity: @ $39.99 per location
Duplicating Cds and DVD - Quantity: @ $1.25 per CD/DVD per 100
Individual Copies: DVD Quantity: @$5.00 Each
VHS/VHS-C on Blu-ray $24.99 per tape up to 4 hours Quantity: (9.99 Blu-Ray charge additional per disk)
Custom Editing for Video - Pricing Depends on Job


Payment Details
Once a representative contacts you and the order details are finalized a payment method can be selected.A deposit may be required and will be determined at time of consult. Available payment methods are: Cash, Check and Credit Card


Disclaimer
While we do ensure the best quality transfer of your film the final quality will be dependent on the current condition of the film. Due to the deterioration of film with the passage of time we offer no guarantees as to the quality of the final outcome. We cannot fix out of focus film or make any adjustment to camera work. Once work has begun there will be no refunds of any deposits. With the submission of this order, the CLIENT has requested the services that have been contracted for and agrees to pay the above listed prices for said services. The CLIENT agrees that the liability of HBMEDIA SOLUTIONS, its agents, and/or employees, for any losses or damages of any kind or nature to the client’s materials be it tape record, photograph or any other medium, is limited to the costs of replacing such tape, record or other material . The client further agrees that HBMEDIA SOLUTIONS, its agents and/or employees, shall not otherwise be liable to the CLIENT for any loss or damage of any kind or nature, whether direct, incidental, consequential or otherwise. The CLIENT declares that all materials submitted by the CLIENT for transfer or other reproduction is not in violations of any copyright laws of the UNITED STATES OF AMERICA. The CLIENT will indemnify and hold HBMEDIA SOLUTIONS harmless with respect to any claim of violation of such laws. The materials submitted by the CLIENT were either created by or the CLIENT has permission of the copyright owner to duplicate those items. All copyrighted material must be accompanied by the appropriate written release form. HBMEDIA SOLUTIONS neither warrants nor guarantees that any reproduction from any source will be viable on all types of media devices (i.e., DVD players, computer drives, CD-ROMS, DVD-ROMS). The CLIENT must pay a minimum of a 50% deposit on all work done at the outset of the project and pay the remaining 50% due and owing before any finalized materials will be turned over by HBMEDIA SOLUTIONS. Failure to pay will result in HBMEDIA SOLUTIONS asserting all legal rights and remedies under the Laws of the State of Florida and the United States of America, including but not limited all attorneys’ fees and costs of any litigation.
11110 W. Oakland Park Blvd. • Suite 305 • Sunrise, FL 33351 • 954-681-4061
“Competitive prices with personal service”