| Name_____________________________________________ | ||||||||||
| Adresss____________________________________________________________ | ||||||||||
| City_____________________________ State______ Zip ___________ | ||||||||||
| Email_____________________________________________________ | ||||||||||
| Credit Card Number______________________________________________ | ||||||||||
| Exp_____/____/_____ CCID # (Last 3 Digits on Back of Card)___________ | ||||||||||
| Slide Scan Form | Please circle | |||||||||
| Number Of Slides ______________________________________ | ||||||||||
| Scan Resolution | ||||||||||
| Low | 1024 x 1544 at 72 dpi | |||||||||
| Medium | 2048 x 3089 at 72 dpi | |||||||||
| High | 2400 x 3600 at 72 dpi | |||||||||
| Custom Please Give Dimensions of scan _________ pixels by ___________ pixels at ______ dpi | ||||||||||
| File Type | ||||||||||
| JPG | TIFF | PSD | ||||||||
| Would you like your files on | ||||||||||
| CD-r | DVD-r | |||||||||
| Would you like for us to | ||||||||||
| Mail Prints | Pick up in store | |||||||||
| if we mail prints back to you, you will be charged shipping and handling | ||||||||||
| Special Instructions | ||||||||||
| Please print and send in with order to: | ||||||||||
| Rochester Photographic Inc. | ||||||||||
| Attn: Mail Orders | ||||||||||
| 160 Park Ave | ||||||||||
| Rochester, New York 14607 | ||||||||||