Home movies/media transfer to KaiserClix

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– Step 1 of 3

Name *

First

Last

Contact Other Instructions:

Contact Email *

Contact Phone *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Preferred Contact Method

Is your home movie already digitized?

How do you want to get media to KaiserClix?

What type of media is your home movie?

Other Media type:

How do you want to get your home movie to KaiserClix?

Notes/Special Instructions: