.dr5-lab E6 write-up date __________    date needed ________
shipping : dr5 701 WEST 6TH AV DENVER CO 80204 303 534  2dr5
dr5production schedule is based on volume and quality control.  Average turn time is 1-5 days & carries no guarantee.
Production schedule CALL NEED AN OFF-PRODUCTION DAY RUN (RUSH CHARGES APPLY)
1) FILM TYPE__________________________PUSH / PULL / NORMAL_____________
2) FILM TYPE__________________________PUSH / PULL / NORMAL_____________
3) FILM TYPE__________________________PUSH / PULL / NORMAL_____________
4) FILM TYPE__________________________PUSH / PULL / NORMAL_____________
5) FILM TYPE__________________________PUSH / PULL / NORMAL_____________
MUST CHOOSE -  TIER-A processing RATE     TIER-B processing RATE      (explained)
                              (A = expedited service)
LAB RATES HERE         
CLIP     No clip                      Send me the clip.       KEEP MY CODES                 
 35mm           120            220           4x5 - 8x10    
ROLL SCANS: (35mm ONLY) SMALL [600X400]      MEDIUM [1500X1000]      LARGE [2000X3000]
PROOF-SHEET SCANS       35mm & 120 & 4X5     REQ file.sz,___________________
SLEEVED-uncut MOUNTED & BOXED     page-sleeve -( thin-archival-transparent non-bindery - see pricing)
 IMPRINTING 22 characters per line, 8 lines, SLIDE PRINTING              Numbering
                            TOP                     Imprinting-35mm                         BOTTOM 
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SHIPPING:               Business address Residential address    
(INTERNATIONL MUST PICK) FULL TRACK. NO-TRACK.     /       GROUND - UPS  
USPS - PRIORITY  - EXPRESS  / -FEDEX -UPS (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 – info2@dr5.com (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 MY BE RETURNED UNDONE

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