COUPON I-D ____________ {browser-text set to
normal for 1 page printing}
dr5 write-up
date ______________
Shipping: dr5 701 WEST 6TH AV
MUST CHOOSE -
TIER-A processing RATE
TIER-B processing RATE (explained)
(A = expedited service)
LAB
RATES HERE PLEASE
CHECK THIS LINK 
FOR PUSH CHARGES - OVER NORMAL ISO
DEV-1 NEUTRAL
DEV-2 SEPIA [now specialty
service]
QTY________FILM TYPE________________________exposed ISO___________
QTY________FILM
TYPE________________________exposed ISO___________
QTY________FILM
TYPE________________________exposed ISO___________
QTY________FILM
TYPE________________________exposed ISO___________
QTY________FILM
TYPE________________________exposed ISO___________
CLIP
KEEP MY CODES
35mm
120
220
4x5 - 8x10
11x14
SLEEVED-uncut
MOUNTED &
BOXED - 35mm
Page-Sleeve -( thin-archival-transparent non-bindery )
ROLL SCANS: (35mm
ONLY)
SMALL [600X400]
MEDIUM [1500X1000]
LARGE [2000X3000]
PROOF-SHEET SCANS Large-file
DIGTAL COTACTS [120 & LF SCANS - time of
developement, apx.60mg]
IMPRINTING 22 characters per
line, 8 lines, SLIDE PRINTING
Numbering
TOP Imprinting-35mm BOTTOM
_____________________
_____________________
_____________________
_____________________
_____________________ _____________________
_____________________
_____________________
SHIPPING:
Business address
Residential
address
(INTERNATIONL
MUST PICK)
FULL
TRACK.
NO-TRACK / GROUND - UPS
USPS
- PRIORITY - EXPRESS /
FEDEX (CRCL,SRVC.) OVERNIGHT /
2-day / SAVER
FEDX or UPS - SHIP
account#_____________________________________________________________________________
PHONE
& EMAIL IS REQUIRED. PLEASE WRITE IT
DOWN CLEARLY.
Phone #: _____________________
EMAIL _______________________________________________________________
Name & Shipping Address________________________________________________________________
___________________________________________________________________________________________________
_______________________________________________________________
PAYMENT: VISA
. MASTERCARD . AMEX . DISC PAYPAL 
(invoice will be
sent-PAYPAL FEE – 3%)
CHECKS-PAYABLE TO: dr5 CHECKS MUST INCLUDE RETURN
SHIP. SHORT CHECKS WILL DELAY YOUR ORDER.
NOTE: ORDERS WITHOUT
PAYMENT INFO WILL NOT BE PROCESSED AND MAY BE RETURNED UNDONE
Clients
may call in a CC# if that is prefered - YOU must call us with
this info please.
C/C ACCOUNT #________________________________EXP. DATE______CARD ZIP CODE_____________
LIMITATION OF LIABILITY: This process has no
warranties. All care is taken to achieve quality resultsThe limitation warranty
also
does not cover any losses or damage that may occur due to an act of nature or
shipping. dr5-chrome will compensate for any losses on
a
case by case basis, or loss due to neglect. dr5-lab reserves the right to refuse services.