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This form is for Replication only. If your project requires Short-Run DiscDirect Duplication please click here.

Contact Information

Company/Artist Name:

Contact Name:

Phone Number:

Email:

Mailing Address:

City:

State:

Zip Code:

Resale Number

Shipping Information

Shipping Address:

City:

State:

Zip:

Referral Information

How Did You Hear About Us:

Name of Sales Person:

Referral/Friend Name:

Other:

Media Requirements

Project Title:

Project Due Date:

Quantity Ordered:

Packaging Options:

Type of Media:

Provided Master:

Disc Print:

Spot Color #1:

Spot Color #2:

Spot Color #3:

Spot Color #4:

Spot Color #5:

Spot Color #6:

White Flood:

Knockout to Disc:

Disc Check Print:

DVD Check Disc:

CD Check Disc:

Design Information

Design Options:

Graphic Designers Name:

Studio Name:

Phone:

Email:

Is your designer authorized to approve artwork for you:

Proof Options:

Send Proofs to:

Send Proofs to Other:

*Additional charges will apply

Dry Goods

Printing:

Inserts/Folders

Panels:

Folds:

Booklets

Pages:

Traycard/Inlay

Traycard/Inlay:

DVD Wraps/Inserts

DVD Casewrap:

DVD Insert:

DVD Booklets

Pages:

Jackets, Wallets, Mailers, Screeners & Digipacks

CD Jacket:

CD Wallet:

CD Mailer:

CD Digipack:

DVD Digipack:

Digipack Spine:

DVD Screener:

Coating

Coating:

*Additional charges will apply

Packaging

Clear Overlay:

CD Jewel Case:

Slimline Jewel Case:

C-Shell:

Paper Sleeve:

DVD Case:

*Additional charges will apply

Finishes

Barcode:

Top Spine:

Top Spine - Release/Catalog:

Top Spine - Record Label Name:

CD Text & CD Database:

Special Instructions

If any special instructions are needed to fulfill your order, please include below.

By initialing below, I certify that I own the rights to this recording/content, and/or I am authorized, by the artist(s)/company whose performance/data will be replicated, to reproduce these materials. I agree to personally assume liability as principal for payment to Disc Outlet for these goods/services. I have also read and understood the Terms and Conditions and agree to them as stated. I understand that if my design files fail to meet Disc Outlets specifications, any changes and corrections made by Disc Outlet will result in additional charges at a rate of $100.00 per hour with a minimum charge of $50.00. All orders are subject to a 10% under or overrun. You will be billed for the actual quantity shipped within this tolerance.

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You will receive a confirmation of your order via email once its processed in our system. Thank you

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