From Shoebox to Digital - SCANPIC Order Form SCANPIC, 271 E. Morris Drive, Gallatin, TN   37066, 423.585.0791
Name:   Date:  
Address:   Credit Card  (MC/VISA):  
City, State Zip   Credit Card #:  
Telephone:   Expiration Date:  
Email Address:   Name on Credit Card:  
Would you like your scanned pictures setup in a FREE password protected  SHUTTERFLY.COM photo album that you can safely share with your family and friends?  

Work begins when we receive payment.  We accept checks, MasterCard and Visa.  All work is guaranteed.  This order form must accompany your photos and documents for work to proceed.  The per scan charge includes return postage to mail back your originals.   It also includes the delivery of your scans to a private online photo album or email address.  We can also copy your scans to CD.  If you have valuable photos that are damaged we have the talent to restore them for you.  Simply label your photos and specify below which ones need restoring.  We will call you with our estimate and give you more details.  The table below can also be used to specify your particular instructions.  Cropping, color corrections, red eye removal, brightness and contrast adjustments are all included with your scan fee.  We will notify you by email when your order is ready.  Here is a sample order form already filled out.

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Specific Instructions

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Specific Instructions

# Specific Instructions
1   11   21  
2   12   22  
3   13   23  
4   14   24  
5   15   25  
6   16   26  
7   17   27  
8   18   28  
9   19   29  
10   20   30  

Your per scan charge is based on the total number of pictures to be scanned.

Number Services/Cost Total
  Scanning (Circle One) - $3.72 | $1.62 | $1.21 | $1.03 | $0.92  
  Minor Photo Restoration $40  
1 - 5 = $3.72
6 - 10 = $1.62
11 - 20 = $1.21
21 - 40 = $1.03
41 - 250 = $0.92
  Moderate Photo Restoration $55  
  Major Photo Restoration $75  
  Extensive Photo Restoration $95  
  Copy to CD $10.00  

Total   

 

Sales Tax (Tennessee Residents must add 8.50%)  

 

Grand Total  

 

Disclaimer:  We know how valuable your personal photos are.  SCANPIC always takes special precautions when storing and handling our client's material.  SCANPIC and its employees assume no responsibility for the loss or damage to any photograph or document while in our possession, for whatever reason.   Please feel free to contact us with any questions, concerns or suggestions.  

Download Acrobat Reader Scanpic Order Form