OR

Please print this form and send it along with your photographs if you plan to mail them to us. It is not necessary to use the form if you are e-mailing your photographs. Contact us if you need help in finding the correct price for the type of restoration or retouching that you need.

YOUR INFORMATION (please print clearly):

NAME: ____________________________________________________

ADDRESS: _________________________________________________ ___________________________________________________________ ___________________________________________________________

CITY & STATE:______________________________________________

E-MAIL: ____________________________________________________

SHIPPING ADDRESS: (If different from above):

NAME: _____________________________________________________

ADDRESS: __________________________________________________ ____________________________________________________________ ____________________________________________________________

CITY & STATE:_______________________________________________

E-MAIL: _____________________________________________________

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