Tape/DVD/CD Duplication Request Form

Please print this form and complete. Send completed form along with Master Tape/DVD/CD via school division courier to:
Media Production Services
Attn: Duplication

Duplicated tapes/DVDs/CDs and master will be returned to you via courier.  An invoice will be sent to the individual requesting the duplication.  You may pay by check or Journal Voucher if school funds will be paying for the services.  Please provide invoice to your school bookkeeper or send check by courier to:
Media Production Services
P.O. Box 389, Manassas, VA 20108

Full Name: 
Department/School: 
Phone:  E-mail: 

Audiotape Duplication

Videotape/DVD/CD Duplication 

Videotape Speed
SP (Standard Play) LP (Long Play) EP/SLP (Extended Play/Super Long Play) Don't Know

Videotape Audio
HiFi Stereo HiFi Left (1) HiFi Right (2) Normal Don't Know  

Your master is what format?
VHS DVD CD-ROM SuperVHS Umatic (3/4")
MiniDV/DV BetacamSP

You would like your copies to be in what format?
VHS DVD CD-ROM SuperVHS Umatic (3/4")
MiniDV/DV BetacamSP

Program Title (Your Copies Will Be Labeled With The Exact Wording You Enter): 

Program Length (TRT/total running time): 

Quantity Needed: 

Comments/Special Instructions: