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
Photo 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
Resolution
Color
B&W
Grayscale
TIFF,
JPEG,
TIFF & JPEG
Quantity of
Images
Price Per
Image Scan
Total
2 MP 300 dpi
          
8 MP 600dpi
          
Other
          
Item
Total
Both TIFF & JPEG Files ADD 10%
  
Both TIFF & JPEG with JPEGs on Sep. CD $15
  
Rush Service Upgrade ADD 50%
  
Additional CD Copies $5 per CD
  
Additional DVD Copies $15 per DVD
  
DVD Slide Show up to 100 images $39
  
Shipping & Handling for Return of Photos
  
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