(Please select "File" "Print" from the menu bar of your browser.) ***************************************************************** Streaming Video & AVI/QuickTime Order Form From The Internet's Most Popular Provider of Streaming Video ***************************************************************** CyberTech Media Group 26W482 Blair Winfield, IL 60190 http://www.cybertechmedia.com Voice (630) 690-7611 Fax (630) 690-2143 E-mail: media@cybertechmedia.com Yes! Please digitize my enclosed video(s) into streaming video format for my web pages or corporate Intranet. This submission form is for members of participating associations or organizations only. Please use our standard form for all other video submissions. Name ___________________________________________________________ Company ________________________________________________________ Address ________________________________________________________ City ___________________________ State ____ Zip ____________ Country ________________________ Phone _____________________ E-mail address _________________________________________________ Web Site URL ____________________________________________________ Member organization or association ______________________________ Select the primary video format desired: (You may also order alternate format clips below for $60 each) Streaming video formats for the Internet and Corporate Intranets: _____ Vivo Active _____ Real Video _____ Windows Media If Real Video, select format desired (call if you have questions): _____ Standard Real Video 5.1 _____ G2 _____ G2 Surestream Non-streaming formats for use in stand-alone PC/Mac presentations: _____ AVI _____ QuickTime # of video clips to be processed ________ The cost of the first video clip (less than 5 minutes in length) is $99. Each additional 5 minute increment is $85. Each additional video submitted with this order is also only $85 for each 5 minute increment. Larger orders (call for quote) ________ Total cost for primary video clips ________ Select the primary delivery speed you'd like your video clip digitized at (if meant for Internet or Intranet usage): _____ 28.8 modem (20 Kbps) _____ 56K modems (37 Kbps) _____ ISDN Modems (80 Kbps) _____ T-1/Cable modem/ADSL/Satellite dish (250 Kbps) _____ LAN (LAN - Corporate Intranet) Specify Kbps _______ _____ Other - please specify Kbps __________ _____ G2 Surestream settings (if applicable) ____________________ ALTERNATE SPEED CLIPS --------------------- If you would like alternate video clips prepared specifically for playback at 56K, ISDN, T-1 or LAN speeds, make your selections below and include $40 for each alternate speed clip desired. Visit our webpage at http://www.cybertechmedia.com/compare.html for further information about alternate speed video clips. Select alternate speed clips you'd like prepared for playback at: _____ 28.8 modem (20 Kbps) _____ 56K modems (37 Kbps) _____ ISDN Modems (80 Kbps) _____ T-1/Cable modem/ADSL/Satellite dish (250 Kbps) _____ LAN (LAN - Corporate Intranet) Specify Kbps _______ _____ Other - please specify Kbps __________ _____ G2 Surestream settings (if applicable) ____________________ Total cost for alternate speed clips at $40 each ________ ALTERNATE FORMAT CLIPS ---------------------- If you would like your video also prepared using an alternate video format, please make your selections below and include $60 for each alternate format clip desired. Both AVI and QuickTime formats provide excellent viewing in stand-alone applications, but are not meant for streaming video over the Net. You may obtain further information about AVI and QuickTime by visiting our page at http://www.cybertechmedia.com/convert.html Streaming video formats for the Internet and Corporate Intranets: _____ Vivo Active _____ Real Video _____ Windows Media If Real Video, select format desired (call if you have questions): _____ Standard Real Video 5.1 _____ G2 _____ G2 Surestream Non-streaming formats for use in stand-alone PC/Mac presentations: _____ AVI _____ QuickTime Total cost for alternate format clips at $60 each ________ Cost For Video Clips Written To CD ---------------------------------- Video clips that are 8 minutes or less in length, and which are prepared at standard 21 Kbps transmission speed can be written on a standard 3.5" disk and shipped to you without any additional charge. If your video clip exceeds 8 minutes, or if we are also preparing it in alternate transmission speed formats, or if we are converting it into either AVI or QuickTime formats, we will need to write your video file to CD rather than diskette. If this is required, please include $25 for each CD we will be preparing. Cost for CD at $25 each ________ Editing ------- If you're requesting any special editing to be done, please call us for a specific quote on editing charges. ________ Tape formats other than VHS or S-VHS ------------------------------------ If you're sending us your video in Umatic, Beta, PAL or Beta PAL format, there will be an additional charge depending upon the length of your video tape. Please call or write in advance for a quote. ________ International Orders -------------------- Please include an amount for the return shipping cost. ________ International orders should be paid by credit card or by a money order or check drawn against a U.S. based branch bank. Sub-total ________ DISCOUNTS --------- Minus 10% association membership discount ________ Total (attach check or money order) ________ If paying by credit card, complete below Credit Card Billing ------------------- Please charge our order to our credit card as follows: _____ Visa _____ Mastercard _____ Amex _____ Discover/Novus Account Number _______________________________ Exp Date ______ Authorized Signature __________________________________________ Credit Card Account Holder & Billing Address -------------------------------------------- If your credit card account holder name and billing address is different than the shipping address you've furnished us with above, please enter it here. Account Name ___________________________________________________ Address ________________________________________________________ City ___________________________ State ____ Zip ____________ Country ________________________ Please tell us what you'd like us to do with your video tapes after they've been digitized. ____ Return them to you ____ Hold in our office ____ Throw away Once we receive your video and payment, we will digitize it and convert it into streaming format within 48 hours. We will then return your video to you along with both a disk containing your movie file and complete instructions for adding the correct HTML code to your web page. If you've ordered either AVI or QuickTime videos, they will be sent to you on CD-ROM. Then all you need to do is simply edit your page to include the new code for your movie, and upload it and your movie file to your Internet service provider. It's that simple! (i 9/26/99)