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Name *

Company Name

Email *

Phone

Address

City

State

Zip Code

Type of Disc *

CD-R
DVD-R
Other (describe):

Order Quantity *

Enter multiple order quantites if needed

Disc Label Printing *

What will you supply as the disc master? *

None (Printing Only - no duplication needed)
Pre-mastered CD-R supplied (disc is ready to copy)
Pre-mastered DVD-R (disc is ready to copy)
Other (describe)

How will the discs be packaged?? *

No Packaging. Wrapped in stacks, bulk boxed
Inserted into a Paper Window Envelope
Inserted into a C-Shell Case
Inserted into a Slimline Jewel Case
Other (describe)

Project Start Date

Project Due Date

Additional Information

Describe any special or custom needs.

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