DejaView Photos Digital Photo Restoration -- Print Order Form

Please print and fill in this form and mail with your photos. Use a separate sheet to describe specific instructions for each photo. See Shipping Instructions for further information.

NAME:

BILLING ADDRESS:

CITY:

STATE:

COUNTRY:

ZIP or POSTAL CODE:

EMAIL ADDRESS:

PHONE NUMBER:

TOTAL NUMBER OF PHOTOS ENCLOSED:

NUMBER OF PHOTOS USING OPTIONAL SERVICES:

AMOUNT ENCLOSED:

Due to the nature of the product, all sales are final and non-refundable. If you receive a damaged disk, please email us within 24 hours and we will send a replacement.

SHIP YOUR PHOTOS TO:
DejaView Photos
48 Walcott Valley
Hopkinton, MA 01748-1402 USA

SHIPPING ADDRESS (if different from Billing Address):

CITY:

STATE:

COUNTRY:

ZIP or POSTAL CODE:

Please pay by Credit Card or Money Order in U.S. dollars. We accept MasterCard, Visa, and Discover cards. Massachusetts residents, please add 5% sales tax to total. For orders requiring price quotes, please send payment upon acceptance of quote so delivery will ship on schedule.

CREDIT INFORMATION:

TYPE (circle one):

MasterCard Visa Discover

CARD NUMBER:

EXPIRATION DATE: __ __ / __ __
SECURITY NO. (on the back of your credit card): __ __ __

SIGNATURE: