Balooga Whale Productions Order Form Dan Liska S4131 County Road H Hillsboro, WI 54634 608-606-2746 *First, Please fill out necessary information for shipping and billing. Name:________________________________ Address:______________________________ _______________________________ Home Phone:__________________________ Cell or Other: __________________________ Next, Put the correct number of each service you wish to have done. Example, if you have three video tapes you would like converted “Simple” then, write a “3” in the appropriate space. VHS to DVD _____ Simple VHS to DVD conversion. No Menus, Chapters, or Transitions. - Please specify below the tape numbers that are to be converted in the space provided and if any of the DVDs are to have extra copies made. ____________________________________________________________________________________________________________________________________________________________ ______________________________________________________________________________ _____Professional VHS to DVD conversion. Menus, Chapter, and Transitions included! -Please specify below the tape numbers that are to be converted in the space below. Also, include any other specifications about each video and if any of the DVDs are to have extra copies made. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________ Slideshows _____ DVD Slideshow with Music and Transitions. A single DVD can hold roughly 1,000 5-second pictures. Please specify below which picture assortments are to be on which slideshow and if any of the DVDs are to have extra copies made. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Custom _____ Your custom service. Please provide your custom service number provided to you after contact with B.W. Productions in the space provided. ________________ Signature of Agreement______________________________________