O R D E R   F O R M

Print this page and include with your check and photos/slides
Mail to: Scanning Service
267 W. Valley Ave., #365
Homewood, AL 35209

Print clearly.
This is your
return label.

Name:
Address:
City, St, Zip:

 Scanning Service
 267 W. Valley Ave. #365
 Homewood, AL 35209


_______________________________________________

_______________________________________________

_______________________________________________

Do not bend.  Contains computer CD and photographs


See Photos or Slides for prices and resolutions.
Please fill in photo or slide, resolution, quantity, and price per scan.
Multiply the quantity times the price to get the amount.
Add the amounts plus $5.00 for shipping to get the total.
There are several lines for photos/slides in case you want multiple resolutions.
If you want different items at different resolutions, clearly mark the resolutions on the items (you may want to use sticky notes.)

Photo or Slide Resolution Quantity Price Each Amount

    $ $

    $ $

    $ $

    $ $
Shipping 1 $5.00 $5.00

Total Amount 
(Minimum order of $30.00)
$
 

Email: (Very Important!)

Please sign to indicate that scanning these materials does not violate copyright laws:
I certify that I have a legal right to have these items scanned: _______________________________

We accept checks, money orders, and PayPal.
Thank you for your order!