FILL OUT ANY SECTIONS BELOW APPLICABLE TO YOUR FILM ORDER

film rescue international u.s.a, canada and non european order form: 1-800-329-8988 u.s orders canadian/overseas orders us orders by mail: p.o. box 88...

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FILM RESCUE INTERNATIONAL U.S.A, CANADA AND NON EUROPEAN ORDER FORM: 1-800-329-8988 U.S ORDERS

CANADIAN/OVERSEAS ORDERS

US orders by mail: P.O. BOX 88, WESTBY, MT 59275 US orders by courier: 303 MAIN STREET, WESTBY, MT 59275 Please send packages requiring a signature with the USPS. When possible, include our phone number on the shipping label. 1 800 329 8988 Canadian orders: 500 GRAND AVE, P.O. BOX 428 INDIAN HEAD, SK, S0G 2K0

*** THIS ORDER FORM NEEDS TO BE INCLUDED WITH YOUR FILM WHEN YOU MAIL IT IN *** SECTION 1 - CONTACT INFORMATION FIRST NAME

LAST NAME

SHIPPING ADDRESS

BUSINESS

RESIDENCE

CITY

REFERRED BY

STATE/PROVINCE

DAYTIME PHONE

BUSINESS NAME

ALTERNATE PHONE

POSTAL/ZIP CODE

COUNTRY

EMAIL

RESALE PO# (include business card)

SECTION 2 - PAYMENT INFORMATION CLICK HERE TO ASSESS THE RISK WITH SENDING CREDIT CARD INFORMATION DUE TO THE EXTREME PENALTIES FOR MAIL FRAUD WHEN USING THE USPS, WE HAVE CONFIDENCE THAT IT IS SAFE TO SEND YOUR PAYMENT DETAILS ON THIS FORM. THAT SAID, WE DO UNDERSTAND PEOPLES’ SECURITY CONCERNS AND ARE HAPPY TO CALL FOR DETAILS PAYPAL ACCOUNT EMAIL PAYMENT METHOD NAME ON CARD CARD NUMBER

(16 DIGITS)

EXPIRATION

CARDHOLDER SIGNATURE

SECTION 5 -DISC FILM SCANNING (PREVIOUSLY DEVELOPED ONLY) PAYING BY CREDIT CARD? or PAYING BY CHEQUE?

FILL OUT ANY SECTIONS BELOW APPLICABLE TO YOUR FILM ORDER

PHOTOGRAPHIC FILM (INCLUDING DISC FILM) THAT HAS NOT YET BEEN DEVELOPED SECTION 3 - STILL FILM PROCESSING TYPE OF SERVICE (PICK ONE): QUANTITY GALLERY SERVICE WITH PREVIEW - THE MOST ECONOMICAL OPTION # OF FILMS SIMPLE SERVICE - NO GALLERY, EVERY SINGLE PICTURE AS A: IMAGE ON CD PRINTS SIMPLE SERVICE EXPLAINED RETURN MY NEGATIVES IF THERE ARE ANY IMAGES DO NOT RETURN MY NEGATIVES I HAVE READ AND UNDERSTAND THE INFORMATION ON THE STILL FILM DEVELOPING PAGE. IF YOU DO NOT CHECK THIS BOX YOUR ORDER MAY BE DELAYED. PLEASE CONTACT US BEFORE YOU SEND YOUR ORDER IF YOU HAVE ANY QUESTIONS.

CHOOSE AN OPTION HERE IF YOU HAVE COLOR FILM (KODACHROME EXCLUDED). PROCESS MY COLOR FILM INTO: B&W - THE SAFEST MOST ECONOMICAL OPTION. ~MORE 1~ B&W AND THEN ACCELERATE INTO COLOR WHEN REASONABLE - ADD 10 DOLLARS PER ROLL ~MORE 2~ B&W AND THEN ACCELERATE INTO COLOR REGARDLESS OF THE RESULTS - ADD 10 DOLLARS PER ROLL ~MORE 3~ 1. YOUR FILM WILL BE PROCESSED USING A HIGH CONTRAST B&W DEVELOPER WHICH ADDS CONTRAST AND REDUCES THE RAVAGES OF TIME. AFTER IT IS SCANNED AND PHOTOSHOPPED. 2. YOUR FILM WILL BE PROCESSED USING A HIGH CONTRAST B&W DEVELOPER. THE FILM IS THEN SCANNED AND PHOTOSHOPPED. AFTER THE FILM IS DEVELOPED IT IS READ ON A DENSITOMETER. IF WE GET A SENSITOMETRIC READING OF GREATER THAN 1.1 WE HAVE A CLUE THAT THE FILM MAY RENDER DECENT RESULTS IN COLOR. IN THESE CASES WE WILL PROCEED TO ACCELERATE YOUR FILM INTO COLOR AND THE ADDITIONAL CHARGE WILL BE APPLIED REGARDLESS OF THE RESULTS IN COLOR. THE COLOR VERSIONS OF THE IMAGES ARE ALSO SCANNED AND PHOTOSHOPPED. 3. YOUR FILM WILL BE PROCESSED USING A HIGH CONTRAST B&W DEVELOPER. THE FILM IS THEN SCANNED AND PHOTOSHOPPED. REGARDLESS OF THE CONDITION OF YOUR NEGATIVE IN B&W, YOUR FILM WILL BE ACCELERATED INTO COLOR AND AN 8 DOLLAR CHARGE WILL APPLY REGARDLESS IF ANYTHING IS SALVAGEABLE FROM THE COLOR VERSION OF YOUR FILM. THE COLOR VERSIONS OF THE IMAGES ARE ALSO SCANNED AND PHOTOSHOPPED. THIS OPTION MIGHT BE APPEALING TO A PERSON WHO WOULD LIKE A HIGHLY DISTRESSED COLOR IMAGE WHICH CAN SOMETIMES HAVE "ART" LIKE QUALITIES.

SECTION 4 - MOVIE FILM PROCESSING # OF FILMS



PLUS ALTERNATE FORMAT (ADDITIONAL CHARGE)

PLEASE PICK AN OPTION

NONE

IF YOUR MOTION FILM YIELDS NO SALVAGEABLE IMAGE DO YOU WANT IT RETURNED TO YOU? (SHIPPING CHARGES WILL APPLY)

NO

PLEASE PROCESS MY COLOR FILM THE SAFEST WAY POSSIBLE INTO A B&W NEGATIVE. CLICK HERE FOR MORE INFO PLEASE PROCESS MY COLOR FILM (NOT AVAILABLE FOR KODACHROME) INTO A COLOR POSITIVE. CLICK HERE FOR MORE INFO AVOID POSSIBLE DELAYS - CONFIRM AHEAD OF TIME WHETHER A THUMB/HARD DRIVE WILL BE REQUIRED (AND WHAT SIZE) I WISH TO BUY AN APPROPRIATE SIZED DRIVE FROM FILM RESCUE I HAVE INCLUDED A GB HARD DRIVE WITH MY ORDER I HAVE READ AND UNDERSTAND THE INFORMATION ON THE OLD MOVIE FILM PROCESSING PAGE. IF YOU DO NOT CHECK THIS BOX YOUR ORDER MAY BE DELAYED. PLEASE CONTACT US BEFORE YOU SEND YOUR ORDER IF YOU HAVE ANY QUESTIONS.

DISCS THAT REQUIRE SCANNING OR SCANNING AND PRINTING SECTION 5 - DISC FILM SCANNING (PREVIOUSLY DEVELOPED ONLY) QUANTITY INCLUDE PRINTS # OF DISCS I HAVE READ AND UNDERSTAND THE INFORMATION ON THE DISC FILM SCANNING PAGE. IF YOU DO NOT CHECK THIS BOX YOUR ORDER MAY BE DELAYED. PLEASE CONTACT US BEFORE YOU SEND YOUR ORDER IF YOU HAVE ANY QUESTIONS. HUBS NEED TO BE REMOVED FROM DISCS FOR MUSEUM GRADE SCANS.

CONTINUED ON NEXT PAGE

SECTION 6 - PHOTOGRAPHIC FILM SCANNING (NOT DISC FILM)

PREVIOUSLY DEVELOPED SLIDES, PHOTOGRAPHS AND/OR NEGATIVES TO SCAN

ONCE WE'VE EVALUATED YOUR ORDER, WE'D LIKE TO HAVE A CONSULTATION WITH YOU TO ENSURE THE JOB IS SCANNED TO THE DESIRED SPECIFICATION AND ORGANIZED IN A WAY THAT IS PRACTICAL TO YOU. I PREFER AN EMAIL TO DISCUSS THE DETAILS OF MY SCANNING ORDER BEFORE PROCEEDING. I PREFER A PHONE CALL TO DISCUSS THE DETAILS OF MY SCANNING ORDER BEFORE PROCEEDING. THE BEST NUMBER TO CONTACT ME AT IS SECTION 7 - VIDEO TAPE TO DVD AND EDITABLE COMPUTER FILES ORIGINAL FORMAT

QUANTITY

VIDEO TAPE - NOT FILM - CONVERT TO DIGITAL FORMAT PLUS ALTERNATE FORMAT (ADDITIONAL CHARGE)

TRANSFER FORMAT

VHS/MINIDV/HI8/DVD

PLEASE PICK AN OPTION

AVOID POSSIBLE DELAYS - CONFIRM AHEAD OF TIME WHETHER A THUMB/HARD DRIVE WILL BE REQUIRED (AND WHAT SIZE) I WISH TO BUY AN APPROPRIATE SIZED DRIVE FROM FILM RESCUE I HAVE INCLUDED A

GB HARD DRIVE WITH MY ORDER

I HAVE READ AND UNDERSTAND THE INFORMATION ON THE MOVIE TRANSFER SERVICE PAGE. IF YOU DO NOT CHECK THIS BOX YOUR ORDER MAY BE DELAYED. PLEASE CONTACT US BEFORE YOU SEND YOUR ORDER IF YOU HAVE ANY QUESTIONS.

SECTION 8 - FRAME BY FRAME MOVIE FILM SCANNING # OF PIECES (REELS) SUBMITTED

CONFUSED? CALL US AND WE WILL WALK YOU THROUGH IT 1-800-329-8988

OUTPUT OPTIONS TO AN OPTION PLEASE PICK

ADD-ONS (CHOOSE AS MANY AS YOU LIKE) SCENE BY SCENE CORRECTION (RECOMMENDED FOR DARK OR COLOR SHIFTED FILM), NO DEGRAINING SCENE BY SCENE CORRECTION WITH DEGRAINING. CLICK HERE FOR AN EXPLANATION. ADD SOUND SYNC ADDITIONAL ARCHIVE COPY (INQUIRE) REWASH MY FILM BEFORE TRANSFER ADD ALTERNATE (DIFFERENT) TRANSFER FORMAT (SPECIFY):

NONE

ADD DVD COPY* X *ONLY AVAILABLE IF ORIGINAL OUTPUT OPTION IS ‘OLD FASHION DVD WITH IMAGE SEQUENCE’. PER DISC UP TO 2 HOURS. ADDITIONAL DISCS REQUIRED IF MATERIAL IS OVER 2 HOURS. AVOID POSSIBLE DELAYS - CONFIRM AHEAD OF TIME WHAT SIZE OF DRIVE WILL BE REQUIRED. FOR MOVIE FILM SCANNING OR VIDEO TRANSFER TO AN EDITING COPY, A FAIRLY LARGE HARD DRIVE IS USUALLY REQUIRED. IF YOU WISH TO SUPPLY YOUR OWN DRIVE THEN PLEASE CONTACT US BEFORE YOU SEND YOUR ORDER SO WE CAN CALCULATE THE SIZE OF DRIVE YOU NEED TO INCLUDE. 500GB OR LARGER MAY BE REQUIRED. I WISH TO BUY AN APPROPRIATE SIZED DRIVE FROM FILM RESCUE I HAVE INCLUDED A

GB HARD DRIVE WITH MY ORDER

I HAVE READ AND UNDERSTAND THE INFORMATION ON OUR MOVIE SCANNING SERVICE PAGE. IF YOU DO NOT CHECK THIS BOX YOUR ORDER MAY BE DELAYED. PLEASE CONTACT US BEFORE YOU SEND YOUR ORDER IF YOU HAVE ANY QUESTIONS.

SECTION 9 - ADDITIONAL INFORMATION OR INSTRUCTIONS

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Clear Form Last Modified: November 9th, 2017