COUPON I-D __________________
dr5-chrome
OPTICAL copy write-up date________________
shipping: dr5 601
GALAPAGO DENVER CO 80204 . 303
534 2dr5 
Production
schedule CALL
NEED AN OFF-PRODUCTION DAY RUN (RUSH CHARGES APPLY)
OUTPUT NEEDED DR5 NEUTRAL DR5 SEPIA E-6 BW-NEG
1) original-art________________________________________format_______
2) original-art________________________________________format_______
3) original-art________________________________________format_______
COPY :
dupes copy from flat-art copies
from each original ______________
- MOUNT-35mm - plastic
-SLEEVED
click here for "slide-imprint
layout" [21 charctrs. per line, 4 lines.]
Imprinting (statment}:_________________________________________________________
MOUNTED & BOXED
cut & page-sleeve[35mm&120]
-page-sleeve 35mm-mounted
SHIPPING: {CIRCLE
APROPRIATE}
USPS - PRIORITY or EXPRESS / FEDXground - DEFAULT or CLIENT ACCOUNT, 2-day, SAVER
UPS - CLIENT ACCOUNT or GROUND
ONLY FEDX or
UPS - SHIP account#________________
Phone #: _____________________ EMAIL _______________________
Name & Shipping
Address_______________________________________
__________________________________________________________
__________________________________________________________
PAYMENT: VISA
. MASTERCARD . AMEX . PAYPAL - 
CHECKS-PAYABLE TO: David
Wood or dr5 (PAYPAL FEE – 3%)
C/C ACCNT #___________________________EXP.
DATE_____CARD ZIP CODE________ CV2 CODE ___
LIMITATION OF LIABILITY : This
process has no warranties. 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 natureor shipping.dr5-chrome
will compensate for any loses on
a case by case basis, or loss due to
neglect.