Order Form
  Please fill-in, print and send with order

  * required
Name: First Last *
Company:
Address: *
Town/City: *  Postal Code: *
Phone Number: *    Fax Number:
Email Address: *
Number of Discs: DVD   CD   PS2   PS1

GQ   XBOX   OTHER
List of Included Discs: (optional)
Cost: # of Discs x $ per disc = $
Shipping: $ (shipping rates use N4W for Postal Code)
HST: (13%) $
TOTAL $
Payment  
Credit Card # (Visa)
Credit Card Expiry
Name on Card
Signature of Cardholder
__________________________________________
Your signature authorizes BBT Entertainment to charge your credit card for all related charges.

If your are paying by cheque, repaired discs will be shipped once the cheque is verified and cleared.

We also accept Money Orders.

Please make cheque or money order payable to BBT Entertainment Inc.

BBT Entertainment Inc.
Disc Repair
8500 Road 164 Hwy 23N
Listowel, ON N4W 3G6
Canada


BBT DISC REPAIR SERVICES guarantee and policies:
Discs sent to us will be assessed prior resurfacing. Discs deemed "unrepairable" are returned at no charge. All resurfaced discs are guaranteed to perform or the repair charge is refunded (or credited on next order).

BBT DISC REPAIR SERVICES is NOT responsible for lost or damaged discs due to shipping.