DVD Input Media Form DVD Replication DVD Duplication crystalclearcds.com

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This form should be completed for each media item supplied. Therefore for DVD-9 and DVD-10 discs, two forms are needed. BOLD fields are required.
Customer Service Representative:
	You must select a customer service representative before submitting this form.
1.) Disc Title:
2.) Customer:
3.) Contact:
4.) Email:
5.) Phone:
6.) Fax:
7.) DLT Revision #:
8.) Reason for DLT revision:
Finished Product
9.) Disc Type:	5 10 9
10.) Disc Side/Layer:	Side A Side B Layer 0 Layer 1
11.) Disc Format:	Video ROM
12.) Video System:	PAL NTSC
13.) ROM Format:	PC MAC PC & MAC PlayStation 2
14.) Audio Format:	MPEG 1 MPEG 2 AC3 (Dolby) DTS MLP LPCM
15.) Regions:	None 1 2 3 4 5 6
	(Select "None" if not region encoded)
Copy Protection
(It is not permitted to Master from a CSS protected pressed disc)
16.) Encryption:	None CSS MacroVision (See Note 1 Below)
17.) Number of Video Titles Sets that are to be CSS*:

18.) Number of MacroVision Video Title Sets:

19.) CSS Details:	CSS not scrambled, CCD&T to obtain keys CSS not scrambled and keys on DLT CSS not scrambled and Keys Supplied on Floppy Disc CSS pre-scrambled on DLT which includes keys
Supplied Media
20.) Input Media:	DLT DVD+R DVD-R Dual Layer DDP on DVD-R
Media Details
21.) DVD-10:	Side A Side B
22.) DVD-9:	Layer 0 Layer 1

Note 1:	MacroVision APS is part of the authoring process. CCD&T cannot switch MacroVision on or off. The quantity of disc manufactured with MacroVision is fed back to MacroVision monthly by CCD&T vendor partner.
Note 2:	Customers must accurately report : Audio Format / CSS Encryption / Macrovision and Playtime for ROYALTY PAYMENT purposes.

Crystal Clear Media Group - 10451 Markison Rd. Dallas, TX 75238 - 1.800.880.0073 - Email

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