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
Document 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 _____________
Scan Type:
B & W
Color
Grayscale
 Page Size:
5 1/2" x11"
8 1/2" x 11"
8 1/2"  x 14"
Other
DPI:
200 dpi
300 dpi
400 dpi
600 dpi
TIFF
JPEG
TIFF & JPEG
Quantity
Price Per
Page
Total
             
             
Item
Charges
Total
Convert to PDF - Image Only
    
Convert to PDF - Image + Text
    
OCR to MS-Word, RAW (No Editing)
    
OCR to MS-Word, CLEAN (Editing)
    
Bookmarks to PDF Document
    
Hyperlinks to PDF Document
    
Split Bindings/ Soft Cover Document
    
Split Bindings/ Hard Cover Document
    
Document Prep and/or Indexing Fees
    
Document Destruction
    
Volume Discount
    
Administrative Fee $20
    
Shipping & Handling Return of Docs
    
Totals
    
Optional and/or Additional Charges
Comments/Special Instructions:

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Payment by Check:
Please Enclose with your Order

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