CSP Document Scanning
2431 Jasper Ave
Fort Myers, FL 33907

Phone: (239) 340-9872
Fax: (239) 791-1075
E-mail: info@cspdocscan.com
CSP
Document Scanning
Order Form Book &
Periodical Scanning
Ship Orders To:
Customer Information: Please enclose this form with your order.

Name_______________________________________________________________

Company Name_______________________________________________________

Mailing Address ______________________________________________________

City __________________________________ State _________ Zip _____________

Contact Name ________________________________________________________

Contact Phone __________________________  Fax _________________________

E-mail ______________________________________________________________

Shipping Address _____________________________________________________

Shipping City __________________________ State _________ Zip _____________
Book Title
Page Size:
8 1/2" x 11"
Other
Bound or
Unbound
TIFF,
JPEG or
TIFF & JPEG
Scan Type:
B & W
Color
Grayscale
Number
of
Pages
Scan
Price
per
Page
OCR
per
Page
PDF
per
Page
Total
                   
                   
                   
                   
                   
                   
                   
                   
Item
Total
Administrative Fee $20
  
Total for Book Scanning From Above
  
Extra CD $5.00
  
Extra DVD $10.00
  
Shipping & Handling Return of Books
  
Totals
  
Optional and/or Additional Charges
Comments/Special Instructions:

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________
Payment by Check:
Please Enclose with your Order

Credit Card Orders:
We will call you for your credit
card information