Custom Video/DVD Order Form After I receive this form I will e-mail you. Included in the e-mail will be the total cost for your video fantasy and the information on how and where to send your payment. Please fill in all information and click the "send now" button. Name Address 1 Address 2 (if needed) City State Zip Code Country Your e-mail address Your Age Check the length of time you would like your video to be: I want my DVD to be 30 minutes I want my DVD to be 60 minutes Write your script here: After you send this form you will be redirected to the main page. Thank you for your interest in my custom videos. By submitting this form you affirm that you are 18 years of age or older and that you agree to send proof of age along with payment.