VIC MEDIA (PTY) LTD  
  ORDER CAPTURES
 Book a new order with us  
  STORE DETAILS:    
       
  Customer:    
  Address:    
  Sales Assistant:    
       
  CUSTOMER DETAILS:
     
  Customer's Name:  
  Telephone Number:  
  Cellphone Number:  
  E-mail Address:  
  Date Handed In: Date format: YYYY/MM/DD  
     
  JOB DESCRIPTION:
  Nr   Description Quantity Convert to DVD? Convert to USB? Transfer to Harddrive?  
             
  1   VHS/Beta Tapes  
  2   Hi 8/VHSC/Mini DV  
  3   Cine Reels  
  4   Slides/Photos/Negatives  
  5   SD Card, Memory Stick, HDD
  6   Mini-DVD, CD, DVD Camera
             
  7   Audio Casette, LP, 8 inch CD
MP3 CD
MP3 DVD
MP3 USB/HDD
  8   Please transfer my tapes:          
 
  •   Seperately:
      (each tape on its own DVD)
       
 
  •   As much as possible:
      (fill each disk to the maximum
      combining tapes)
       
  9   Vic Media to Supply USB/HDD Yes: No:    
    We will supply:    
             

  WOULD YOU LIKE EXTRA COPIES OF YOUR DISKS/USB STICKS?  
               
  Discs Yes: No: Quantity  
  USB Yes: No: Quantity  
   
 
  COLLECTION OR COURIER:
 
  Vic Media to Collect (Gauteng only) Yes: No:
  Will send by courier Yes: No:


  COMMENTS / SPECIAL INSTRUCTIONS:
     


We will handle your order using the most advanced equipment, however, in the unlikely event of loss or damage to your recorded media or footage or degradation of your original media, we will not be held responsible.

Your order is accepted without warranty, guarantee or any liability.