827 So. Main Street,  Santa Ana,   California   92701

Order Form for Mail-In Services     June 2006

Enclosure Description:

A.  Film to be processed:  35mm, 120mm, other: __________  Color   /   Black & White   /   Slides

B.  Previously processed:   Negatives  or  Slides  -  please indicate:  Black & White   or   Color

C:  Digital Image(s):   Indicate Media type ______________________

D:  Other Media (please specify) _______________________________________________________

Service to be performed:   Specify Glossy or Matte if requesting Prints


Special Instructions:

 

Shipping & Contact Information
Please print clearly

Name:____________________________________
Company:_________________________________
Addr: ____________________________________
City______________________________________
State______________         Zip__________
_____Ship via: 1st Class US Mail* @ 2.95
_____Ship via US Air Mail (Canada) @ $10.00

_____UPS-Ground  @ 7.95
_____UPS - 2nd Day Air @ 14.95
_____UPS - Next Day Air @ 29.75
Daytime Phone: ______________________
E-Mail:_______________________________

Payment Options & Information

________  Check or Money Order enclosed.

 ________ Please bill my Credit Card

Credit Card:   MC ___   VISA ___  AMEX  ___

 
DISCOVER ____  Other ____

Acct # _________________________________ 

Expiration Date___________

Signature:____________________________________
* Note:
Tracking not available on 1st Class US Mail.