Order Form

Please Complete & print out this form and enclose it with your order.
Without this Form, the order will be considered incomplete and will not be serviced.
We do not take any responsibility for orders which are not accompanied by an order form.
Thank you for your co-operation.

Name:
Email:
Address:
Address (Contd.):
City:
County or state:
Post code/Zip:
Number of Video Tapes:
Primary Contact Phone:
Secondary Contact Phone:
Required Format:	Real Video     Mpeg     Mpeg2 CBR    Mpeg 2VBR
Payment:	GBP Made Payable to WebTronix UK Ltd
Date:
Instructions:
Signature:

                            
Limit of Liability: One Blank VHS Video Tape.
All brand or product names used in this material are trademarks or registered
trademarks of their respective companies or organizations.