Name
*
First Name
Last Name
Email
*
Phone
*
Country
(###)
###
####
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
How can we help you live a second life through the eyes of the past?
Please select services requested, followed by quantities below
Please indicate your chosen method(s) of delivery. How would you like to relive your memories?
Choose your preferred way to send us your media: what's best for you?
Local Dropoff/Pickup Appointment
Express Mail Services (USPS, UPS, FEDEX)
Choose your preferred way to receive your media after project completion: what's best for you?
Local Dropoff/Pickup Appointment
Express Mail Services (USPS, UPS, FEDEX)
In the past, did you seek the services of another company for digital conversion of your media?
Yes
No
It's important for us to know the condition of your items. Do your video tapes, film reels, or images suffer from any damage, mold, or other forms of deterioration?
Could you please provide any additional details or specific requirements related to your request?
Please include estimated number of media by type
Appointment Requested?
Yes
No
Requested Appointment Date
MM
DD
YYYY
Requested Appointment Time
Hour
Minute
Second
AM
PM
