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Reliable Video Conversion
c/o P. Love
220 E 58th ST #209
Chicago, IL 60637-1302


Name_____________________________________________

Address___________________________________________

City______________________________________________

State___________________Zip________________________

E-mail__________________Phone______________________

Convert from_________________To____________________

How Many copies?_____________

Prices
First conversion of up to 6 hours on VHS and 4 hours on DVD = $15.99
all prices include shipping and handling (no cost for postage).
Note: Choosing more than 2 hours for your DVD will result in some picture quality loss.

Make payments in check or money order payable to P. Love.

Total Amount enclosed_____________

Mail to:
Reliable Video
c/o P. Love
220 E 58th ST #209
Chicago, IL 60637-1302
USA