Disk Submission Form

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Please fill in the fields below, print this page, and send it along with you disks.


CONTACT INFORMATION

Name:

Street Address:

Street Address 2:

City: State: Zip Code -

Phone Number (Optional): - -

E-mail:

Please Note: We will not sell or give away your e-mail address to anyone, or send you advertisements, as we respect your privacy.

DISK INFORMATION

Approx. Number of Disks: Under 25 (1 Credit)26-50 (2 Credits)51-100 (3 Credits)100+ (4+ Credits) Please Note: Each Credit is good for $1.00 off a pack of disks; Minimum Number of disks submitted is 7. If you submit under 7 disks, you will not receive a credit and your disks will NOT be returned.

Send Back Damaged Disks? Check this box if you want us to send you back your damaged or unusable disks. PLEASE NOTE:  There will be a fee if we return more than 5 disks, check here if you want us to send back more than five (if there are any) and we will charge you a $1.50 shipping and handling fee.


SHIPPING INSTRUCTIONS

Send disks to:

Evirodisk

1096 Black Rock Rd

Easton, CT 06612-1157

Please print this page and enclose it along with your disks. Your credits will arrive shortly after via e-mail.

Questions? Call Us 1-877-412-2876 and leave a message

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