COUPON I-D ____________     {browser-text set to normal for 1 page printing}
dr5 write-up
             date __________      date needed __________
Shipping
: dr5 601 GALAPAGO DENVER CO. 80204       303 534 2375       M - F   S-call
dr5production schedule CALL        
NEED AN OFF-PRODUCTION DAY RUN(RUSH CHARGES APPLY)
PLEASE CHECK THIS LINK FOR PUSH CHARGES - OVER NORMAL ISO
 
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CLIP     No clip                            35mm     120      220     4x5 - 8x10
Send me the clip.   You Judge & run the balance.                           KEEP MY CODES
ROLL SCANS: (35mm ONLY)    SMALL [600X400]         MEDIUM [1500X1000]       LARGE [2000X3000]
SEE DIGITAL WRITE-UP FOR 120 & LARGE FORMAT SCANNING

MOUNTED & BOXED - PLASTIC  /    CARDBOARD UNAVAILABLE             international - FLAT-SHIP (not as safe)
SLEEVED-uncut        cut & page-sleeve[35mm&120]      Page-sleeve 35mm-mounted
 (click here for "slide-imprint layout" )     22 characters per line, 6 lines.Imprinting-35mm
                            TOP                                                              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 ONLY
                       FEDX  or UPS  -  SHIP account#___________________________

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

Name & Shipping Address___________________________________________   

_____________________________________________________________

_____________________________________________________________
PAYMENT:  VISA . MASTERCARD . AMEX . PAYPAL - (PAYPAL FEE – 3%)
CHECKS-PAYABLE TO: 
David Wood      or     dr5     

C/C ACCOUNT #____________________________EXP. DATE_____CARD ZIP CODE________ CV2 CODE
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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.