COUPON I-D ____________           FILM DROP:  by appointment
.dr5-lab
E6 write-up
 date __________    date needed ________
shipping : dr5 601 GALAPAGO DENVER CO 80204 303 534  2dr5
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_____________


CLIP      No clip                   35mm         120         220     
I want to judge this clip. Send them to me.     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   Page-sleeve 35mm-mounted   SLEEVED-uncut   cut & page-sleeve[35mm&120]
 (click here for "slide-imprint layout" )     22 characters per line, 6 lines.Imprinting-35mm
                            TOP                                                              BOTTOM 
____________________ _____________________
____________________ _____________________
____________________ _____________________

SHIPPING:
{CIRCLE APROPRIATE}
USPS -   PRIORITY  or   EXPRESS       /       FEDXground - DEFAULT   or  CLIENT ACCOUNT,   2-day   or    SAVER
UPS - DELIVERY TO US ONLY
             FEDX  or UPS  -  SHIP account#___________________________ 

PHONE & EMAIL IS REQUIRED. PLEASE WRITE IT DOWN.
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: There are no warranties implied or expressed. 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, machine malfunction 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.