HomeMy WebLinkAboutMINUTES - 02052008 - C.23 (2) Request Rec'd
Dub Completed
Called �1
CCtVMail/Pickup (0n?
Copy for file
VIDEO DUPLICATION REQUEST FORM
FAX (925) 313-1185 ATTN: DENISE AUGUST
e-mail: daugu(&/contracostatv.org
DATE NEED BY: REQUEST TAKEN BY:
NAME: DEPT:
ADDRESS: PHONE:
CITY: STATE: ZIP CODE:
(ORIGINAL)TAPE FORMAT:_SVHS_UMATIC SP_BETA_MDV_VHS
UMATIC OTHER
NUMBER OF COPIES REQUESTED:
(COPIES) TAPE FORMAT: _SVHS_UMATIC SP_BETA_MDV_VHS
UMATIC OTHER
PROGRAM TITLE:
PROGRAM LENGTH:
SPECIAL INSTRUCTIONS:
CHARGE AMOUNT-
TAPE SUPPLIED BY DEPARTMENT OR CUSTOMER:
TAPE SUPPLIED BY CCTV:
DUBS COMPLETED BY DATE:
PICKED UP BY DELIVERED BY
INVOICE PRICE: ORG# C.O.D.PICK-UP
VHS Copies- $25.00 per tape
DVD Copies- $30.00 per tape
.Audio to Audio tape...........................................................$10.00
Videoto Audio tape...........................................................$22.00
Payment Recd—Cash Amount Date
Check Amount Check Number Date
Initials of Staff Accepting Payment