aDVDc
Order Form

NAME
ADDRESS
CITY
STATE		ZIP
E-MAIL		PHONE
ORDER#	CREDIT CARD #:                                                  EXP: Signature:

ITEM	QTY	TOTAL
	Sub:
Shipping: Priority Mail w/ delivery confirmation & Insurance ($6.75) Overnight - Express Mail ($13.65) Multiple item discount (email/call)
Total:

PAYMENT:Please send Payment payable to: aDVDc

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Blanket Copyright Authorization

________________________________________________ (the client)hereby declares and guarantees to the manufacturer aDVDc, that he has all the required authorizations concerning the reproduction of all work(s) that he is giving or will give to aDVDc. (copyright and all other rights) and that such work contains nothing that is likely to violate the copyrights of any person nor any element that could constitute a reason to institute legal proceedings based on the violation of any right or illegality.

Furthermore,_____________________________________ (the client) hereby agrees to hold the manufacturer aDVDc harmless of all or any liability that may arise from reproducing / manufacturing such work(s).

In fact, if any judgments concerning the reproduction / manufacturing of such work(s) given by a court of law, 

 ________________________________________________(the client)hereby agrees to he held liable for that judgment including, without restriction all claimages, disbursements, judicial costs and reasonable attorney fees incurred bythe manufacturer aDVDc.

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