Print Order Form

Photo Restoration Mail Order Form

American Photo Restoration
6409 Whitman Avenue
Van Nuys, CA 91406

Call (818)779-1325
http://www.AmerPhotoRestoration.com
Email: amerphoto@ix.netcom.com

Print out this form for each restoration order and mail it to us. All digital restoration's are one price, $39.00. Whether you need a black and white restored, a color photograph to be restored or even to add color to a black and white photo. It's just one price. There are no estimates. No quotes are needed. No extra charge for additional subjects. No extra charge for extensive or excessive restoration work that needs to be done. You'll get a Free disk with your restored photo and a Free print. Plus, Free First Class Shipping in the U.S.A. If you are sending your original photo, make sure you put it in a protective envelope or box and send insured or certified mail to us. We will then mail it back to you by certified mail when your order is completed.

Restoration Order: B&W, Color, or Colorize (add color)................................$39.00
($39.00 includes one free print and your picture on a disk)

Your Free disk (circle one): 3.5 floppy or CD rom disk

Additional prints are $5.00 each sheet: Quanity: Price:

One 8x10 = 1 sheet..............................................QTY[ ] ............$5.00 each.................$______
Two 5x7's = 1 sheet..............................................QTY[ ] ............$5.00 each.................$______
Four 3x5's = 1 sheet.............................................QTY[ ] ............$5.00 each.................$______
Four 4x5's = 1 sheet.............................................QTY[ ] ............$5.00 each.................$______
Nine Wallets = 1 sheet.........................................QTY[ ] ............$5.00 each.................$______
Sixteen Mini Wallets = 1 sheet..............................QTY[ ] ............$5.00 each.................$______
One 5x7 & 4 Wallets = 1 sheet..............................QTY[ ] ............$5.00 each.................$______
(1)5x7 (2)2.5x3.5 (4) 2x2.5 = 1 sheet......................QTY[ ] ............$5.00 each.................$______
(1)5x7 (2)3.5x5 = 1 sheet.......................................QTY[ ] ............$5.00 each.................$______
(1)5x7 (8)2x2.5 = 1 sheet.......................................QTY[ ] ............$5.00 each.................$______
(1)5x7 (4)2.5x3.25 (2)1.5x2 = 1 sheet......................QTY[ ] ............$5.00 each.................$______
(1)5x7 (4)2.5x3.5 = 1 sheet....................................QTY[ ] .............$5.00 each................$______
(2)4x5 (2)2.5x3.5 (4)2x2.5 = 1 sheet.......................QTY[ ] .............$5.00 each................$______
(2)4x5 (8)2x2.5 = 1 sheet.......................................QTY[ ] .............$5.00 each................$______
(2)4x5 (4)2.5x3.5 = 1 sheet....................................QTY[ ] .............$5.00 each................$______
(4)3.5x5 = 1 sheet.................................................QTY[ ] .............$5.00 each................$______
(20)2x2 = 1 sheet..................................................QTY[ ] .............$5.00 each................$______
(16)2x2.5 = 1 sheet..............................................QTY[ ] .............$5.00 each................$______
(8)2.5x3.5 = 1 sheet............................................QTY[ ] .............$5.00 each................$______
(4)2.5x3.5 (8)2x2.5 = 1 sheet..............................QTY[ ] .............$5.00 each................$______
(9)2.5x3.5 = 1 sheet..............................................QTY[ ] .............$5.00 each................$______

                                 ** Overseas shipping via air mail please add: **
                                             .... Europe .... $3.50
                                             .... Other ........$3.50

                Your Name:_______________________________________________________

                Studio Name:_____________________________________________________

Write your special instructions for this photo:
Check type of service for this photo: [ ] Black & White restoration [ ] Color photograph [ ] Colorize [ ] Add Color [ ] Sepia (brown tone)

COMPLETE RESTORATION INCLUDES: The restoration of damaged faded black & white or color photographs. Colorize (adding color to your photo)
BACKGROUND: Plain or same background (we remove background, cracks, stains or objects and figures, add studio background or keep the same background, restore and clean, etc.) CLOTHING: Remove cracks and spots FEATURES: Completely restore face or faces (remove cracks and spots, etc.) COLORIZING: Include your coloring instructions on background, features and clothing.

_________________________________________________________________________________________________________________________________________

All orders will be completed within 10 working days from the date your order is received.
Payment must accompany each order. We accept checks, money orders, Visa and Mastercard.

Billing: Payment type: [ ]credit card, [ ]check or [ ] money order. Please make checks payable to American Photo Restoration.

Credit card #___________________________________________________ exp. date: __________

Your Signature:____________________________________________________________________

                            American Photo Restoration
                                              6409 Whitman Avenue
                                               Van Nuys, CA 91406