order form up-date 1/1/2000 (print-an-save)

Mail To--
Disk Works of South Jersey
187 Clayton-Aura Rd
Glassboro, N.J 08028-3404

RETURN ADDRESS

Name____________________________________________
Address__________________________________________
City,State____________________________Zip__________
E-Mail Address_____________@___________________
*********************************************************************

PRICES FOR PHOTO CAPTURE
Photos taken from VHS film (640x480)

Amount of Photos Captured

Price per Photo

Your Quanity Ordered

Total due

1 - 10 $1.50@ ________ ________
11 - 20 $1.35@ ________ ________
21 and over $1.20@ ________ ________
Return Postage $3.50
New Residents please add 6% sales tax _________
Total for order _________


Mail: ( )cash ( ) check ( )money order
TOTAL AMOUNT DUE FOR SCANNING ===_________
ALL CHECKS MUST CLEAR----(allow 5 business days)
CASH or MONEY ORDER- ( processed in 24 hrs )

MAKE A LIST FOR THE PHOTOS YOU WANT TAKEN FROM YOUR FILM
( 1 ) PERSON or PLACE
( 2 ) action going on
( 3 ) where about on the film ,,time wise some films are 6 HRS long
( 4 ) Tell me what you want to see (be spacific)

IMPORTANT NOTICE !!!
For Adult Type Photos ( only )
Befor I will scan any type of ADULT pictures I need to have you
sign below and state that all persons in the photos are of legal age
and that you have their consent to have the photos scanned...

SIGN HERE (your full name)_______________________________________

 

To use Pay-Pal the address is: webmaster@diskworks.com

Use Pay-Pal to pay anyone on the Internet with a valid e-mail address. You will recieve $5.00 just for signing up. WOW FREE MONEY ! NO CREDIT CARD REQUIRED Make payments with PayPal - it's fast, free and secure!

Web Site
( www.diskworks.com )
E-Mail--sleepy@diskworks.com