Name_____________________________________________
Adresss____________________________________________________________
City_____________________________             State______  Zip ___________
Email_____________________________________________________
Credit Card Number______________________________________________
Exp_____/____/_____   CCID # (Last 3 Digits on Back of Card)___________
Photo Restoration Order Form
Photo Restoration is based on digital artists visual of what the original photo was like.  Due to the nature of
restorations, there is no refund on final product.
Photo Restorations starting price is $25 and are priced based on amount of work needed to restore the photo.
The maximum price would be $125.  When your photo is received we will give an estimated price quote
and email the quote to you.  Once we hear back from you with ok we will start the restoration process.
Most photo restorations are completed in 1-4 weeks but some can take longer for severe detail work.
Estimated times will be included in price quote email.
Final Product will be provided at no charge on CD
Please describe in detail what you would like done
Print size of restored photo
	3.5x5		4x6		4x5		5x5		5x7
	8x10		8x12		11x14		16x20		20x24
Number of copies		____________
Would you like your order
		Pick up in store			Mail order back to me
	if we mail order back to you, you will be charged shipping and handling
Any additional instructions
Please print and send in with order to:
Rochester Photographic Inc.
Attn: Restoration Dept.
160 Park Ave
Rochester, New York 14607