Please print out this form and use it when sending us your film.

Date:  

From:    Name:

            Address:

            City/State:

            Zip (Postal) Code/Country: 

            email:

            Phone:

Enclosed please find __________ rolls/cartridges/negatives of film.  Enclosed is my check in the amount of US$_________ to cover processing and return shipping OR credit card number, expiration date and amount to charge :

Notes or Special Instructions: