www.VIDEOTAPEREPAIRS.com  Video Tape Repair ORDER FORM  
USA & Canada call (631) 696 6490 International Dial: 00 44 141 588 0745

FILL IN AND PRINT ORDER FORMPlease Fill in this form, Print this form out, Sign and send with your check or money order made payable to:
Video Tape Repairs, 4 Greenbrier Avenue, Farmingville, Suffolk County, New York, NY 11738
Orders are normally processed and shipped within 28 Days.

1. Complete this form, print & return it with your order Use one form for each tape sent:


2. Return Shipping Preference:

3. We will repair your original tape and transfer any recovered footage onto VHS or DVD.  Order extra additional copies on VHS or DVD for $20 per copy.  How  many total copies should we produce for you and in what formats? Please indicate below.

DVD  (1st copy free)


Other Format

4. Payment Options:

(Do not include your credit card details with your order, either use the "buy Now" button on our web site or  we can email you a payments link when order is completed)

5. How did you find us?

  If Via a 'search engine', which one?

6. Please describe the damage to your tape or write any other comments or questions here: [FrontPage Save Results Component]

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 ontodvd.com and any individual or business affiliated with ontodvd.com 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 as with all similar photographic and video services, our liability is limited to the replacement value of blank material sent to us. Ontodvd.com 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. You (the customer) also confirm that you are the legal owner of the video tape contents and agrees to protect and indemnify ontodvd.com (or it's assignees) from any costs related to copyright infringement. Shipping and handling charges may be added to your order.

I have read the agreement and submit my order to ontodvd.com in accordance with the preceding terms and conditions:

7. X______________________________________________________________________________________________Date______________________________


Please print and send with your damaged tape to: 

4 Greenbrier Avenue
Suffolk County
 New York
NY 11738

If you have any Questions please e-mail us or call

USA & Canada call USA (631) 696 6490 International Dial UK: 00 44 141 588 0745


Summary: Cost of Video or Audio Tape Repair and Conversion to DVD/CD:
$59.95  +  $6.75  shipping / handling  =  $66.70  per repair and copy to DVD/CD

Note:  New York residents please add 8% sales tax to total of order ($72.04).