dr5-chrome      SCANNING      date________________
shipping: dr5 601 GALAPAGO DENVER CO 80204 . 303 534 2dr5  
Production schedule CALL         NEED AN OFF-PRODUCTION DAY RUN (RUSH CHARGES APPLY)
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: {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(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.