dr5-chrome      SCANNING      date________________
shipping: dr5 701 WEST 6TH AV DENVER CO 80204 . 303 534 2dr5  
Production schedule CALL  

LAB RATES HERE
1) original-art________________________________________format_______
2) original-art________________________________________format_______
3) original-art________________________________________format_______
GANG-scans (proof-sheet style)     STANDARD SCANS
ROLL-scans         
Scans-specify: __________________________

DRUMSCANS                  PREMIUM SCANS

DPI ___________________________________ or
%-PERCENTAGE _______________________
FINAL DIMENTION ________________________
SCAN-saved as:     MAC    PC    
FORMAT:
tiff                jpg                  psd-photoshop                 eps
other_______________________


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 ___________________
Name & Shipping Address___________________________________
__________________________________________________________
__________________________________________________________

 PAYMENT:  VISA . MASTERCARD . AMEX . PAYPAL(3% - fee)-
CHECKS-PAYABLE TO: dr5   CHECKS MUST INCLUDE RETURN SHIP. SHORT CHECKS WILL DELAY YOUR ORDER

C/C ACCNT #_________________________________EXP. DATE________CARD ZIP CODE____________
                                                                              
LIMITATION OF LIABILITY :  No warranties implied. All care is taken to achieve quality results.The 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 loses on a case by case basis, or loss due to neglect.