COUPON I-D ____________     {browser-text set to normal for 1 page printing}
dr5 write-up                          date ______________
Shipping: dr5 601 GALAPAGO DENVER CO. 80204   303 534 2375       M - F   S-call
dr5production schedule is based on volume and quality control.   Average turn time is 1-5 days & carries no guarantee.
NEED RUSH PROCESSING (RUSH CHARGES APPLY)         date needed _________ [rush fee may apply]
QTY________ FILM TYPE ___________exposed ISO___________ DEV-1 NEUTRAL DEV-2 SEPIA
QTY________FILM TYPE____________exposed ISO___________ DEV-1 NEUTRAL DEV-2 SEPIA
QTY________FILM TYPE____________exposed ISO___________ DEV-1 NEUTRAL DEV-2 SEPIA
QTY________FILM TYPE____________exposed ISO___________ DEV-1 NEUTRAL DEV-2 SEPIA
QTY________FILM TYPE____________exposed ISO___________ DEV-1 NEUTRAL DEV-2 SEPIA
QTY________FILM TYPE____________exposed ISO___________ DEV-1 NEUTRAL DEV-2 SEPIA
LAB RATES HERE                  PLEASE CHECK THIS LINK FOR PUSH CHARGES - OVER NORMAL ISO
CLIP     No clip                      Send me the clip.       KEEP MY CODES                 
 35mm           120            220           4x5 - 8x10         11x14
ROLL SCANS: (35mm ONLY) SMALL [600X400]      MEDIUM [1500X1000]      LARGE [2000X3000]
PROOF-SHEET SCANS       35mm & 120 & 4X5    MEDIUM - 75 mgs     LARGE - 140 mg
SLEEVED-uncut    cut & page-sleeve[35mm&120]    Pocket-Page 35mm-mounted    MOUNTED & BOXED
20 characters per line, 6 lines, SLIDE PRINTING Numbering - not available -    MOUNTS ARE GEPE-PLASTIC
                            TOP                     Imprinting-35mm                         BOTTOM 
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SHIPPING: (CIRCLE APPROPRIATE)       Business address          Residential address
USPS -   PRIORITY  or   EXPRESS       /       FEDXground - DEFAULT   or  CLIENT ACCOUNT,   2-day   or    SAVER
UPS - DELIVERY TO THE LAB ONLY        FEDX  or UPS  -  SHIP account#_________________________

PHONE & EMAIL IS REQUIRED.       PLEASE WRITE IT DOWN CLEARLY.
Phone #: _____________________      EMAIL __________________________

Name & Shipping Address_________________________________________   

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PAYMENT:  VISA . MASTERCARD . AMEX . PAYPAL - (PAYPAL FEE – 3%)
CHECKS-PAYABLE TO: dr5  CHECKS MUST INCLUDE RETURN SHIP. SHORT CHECKS WILL DELAY YOUR ORDER
C/C ACCOUNT #________________________________EXP. DATE______CARD ZIP CODE________