Photo Field Imaging 
Photograph and Document Scanning Order Form 
Prices as Low as $0.85.  Current prices are in effect until December 31, 2014.
 
**Note:  Please fill out the following form completely.  Print out two copies, one for your personal records and the second to be sent to us with your order.  Once we have received your order, we will verify the quantities, options specified and the final price. 
Volume discounts at 100, 250 & 500
    Discount Totals
Quantity:   $1.25
Resolution:    
          Basic Scan:
           
Priority Service Required:        
File Storage Format:      
8 or 16 Bit:      
ICE Required:      
Cropping Required:          
Storage Media:        
Extra Disk Sets:     $25.00 ea.  
DVD Slide Show:  
Custom Text Frames:     $2.00 ea.  
Extra DVD Slide Show Sets:     $25.00 ea.  
Select Shipping Option:  
     
*** Please note that the minimum order amount is $40.00 plus shipping.   Total:
         
         
Enter Payment Method:    
     
Payment Notes: When paying by PayPal you will be contacted by email with the final price and payment instructions.  Payments through PayPal are our preferred method of choice.
  Personal Checks and Money Orders are to be made payable to Photo Field Imaging.  Please note that personal checks may take up to 30 days to clear.
  Please Enter Any Special Instructions: 
     
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
Enter Your Personal Information
Customer Name:
 Street Address:
Apt. #, Unit #, etc.
Town/City:
State/Province:
ZIP/Postal Code:
Daytime Phone:
Evening Phone:
Email Address:
 
 
Once complete, send one copy of this form along with your items to be processed to: 
   
Photo Field Imaging
661 Mossbank Court
Newmarket, Ontario, Canada
L3Y 3A9
   
Phone:  289-221-6568
email:  info@photofieldimaging.com