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