www.fotoworkspro.

com
Tel 714.258.7080

1 FILM DEVELOPING + SCAN 2 PAYMENT INFORMATION

Scans: Standard = 2000x3000px, Max = 4000x6000px

Qty Service Per Roll Total

Standard Scan, Develop, Upload $15.99 Credit Card #: ________________________________________________

Max Scan, Develop, Upload $23.99 Exp Date: ____________ CVC: ___________ Billing Zip: ___________

Signature: __________________________________ Date: ___________

BW Film - Additional $2

220 Format Film - Additional $10 3 RETURN ADDRESS

Name
A. PRINT OPTIONS

Qty Print Options Per Roll Total

Address

1 Set of 4” Pro Lustre Prints $7.99

City
Border Options: Borderless 1/4” White Borders

State Zip

B. STATE TAX
Email Address
Subtotal

Phone Number
Sales Tax 7.75%

4 ATTACH LABEL & SHIP

C. RETURN SHIPPING

Ship lm back USPS First Class $4.99 A. Print and attach the shipping label to
the padded envelope.
Pickup in store $0
B. Insert lm, payment, and this form.
Shred & dispose lm $0
C. Mail with correct postage.

TOTAL
3

Limit of Liability
Submitting any tangible or electronic media, image, data, le, card, disc,
device, lm, print, slide or negative for any purpose, such as processing,
printing, duplication, alteration, enlargement, storage, transmission, or other
handling, constitutes an AGREEMENT that any loss or damage to it by our
company, subsidiary or agents, even though by our negligence or other fault,
will only entitle you to replacement with an equivalent quantity/size of
unexposed photographic lm or electronic media. Except for such
replacement, our acceptance of the media, image, data, le, card, disc, device,
lm, print, slide or negative is without other liability, and recovery for any
incidental or consequential damages is excluded. No expressed or implied
warranty is provided.
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 www.fotoworkspro.com
Tel 714.258.7080

Shipping Label
• Attach shipping label to padded envelope.
• If you prepaid online, please include copy of receipt.
• If you’re using the order form, please include it.

From:
Use
Correct
Postage

Please Handle With Care.

Package Contains Film.

Fotoworks Pro
15012 Red Hill Ave, Suite A
Tustin, CA 92780