Customer Information Form printable pdf download

Pro8mm Customer Information Form

2805 West Magnolia Blvd. Burbank, CA 91505 Ph: 818-848-5522

Customer Contact Information:

Name:______________________________________ Company Name:________________________________________

Phone:______________________________________ Email:________________________________________________

Job Name:__________________________________________________________________________________________

Shipping Information:

Pro8mm offers Fed-Ex as its return shipping provider. Payment is to be covered by the client. We use standard Fed-Ex

published rates that can be found on . Choose a service that will best serve your needs.

All packages come with signature request. Pro8mm can NOT use client supplied Fed-Ex accounts. We apologize for this

inconvenience. Duties and Taxes may apply for international orders and will be billed to the client.

Priority Overnight

Standard Overnight

2-Day

Express Saver

Ground

International

Saturday

Shipping Name:____________________________________ Company/School:___________________________________

Shipping Address:__________________________________ City:________________ State:__________ Zip:__________

Payment Information:

**required for all jobs and shipping, including pre-paid products***

**All jobs including pre-paid packages, pre-paid processing and regular services require payment for job and shipping.

Pre-Paid services do not include pre-paid shipping. Please provide payment info.

Cash

Check

Visa

Master Card

Amex

Discover

Paypal (fees apply)

Card Number:_________________________________________________ Expiration Date:_________ V-Code:________

Billing Address:

same as above:__________________________ City:_________________ State:________ Zip:_______

Card Holder’s Name:____________________________________ Signature:____________________________________

This Form Must be Filled Out and Submitted

along with the Pro8mm Services Work Order Form for Processing and Scanning Specifications.

The Advanced Digital Mastering Form is also available for more options.

For pricing, turn-around times and more information

please visit

or call us at 818-848-5522 for an estimate

Please Print, Sign and Date that the Above Information is correct:

Name:_____________________________ Signature:_________________________________________ Date:_________

Customer Information Form