Chicago Scanning LLC - Customer Intake Form

Customer Intake Form
Date*

MonthDayYear
Date
Name*

First NameLast Name
Email - Confirm your email by entering it twice*

Confirmation Emailexample@example.com
Phone Number*
Please enter a valid phone number.
Is this your first project with us?*

YESNO
Gift Gard Number
Want to send us some photos of your items?

Cancelof
Billing Address*

Street Address

Street Address Line 2

CityState

Zip Code

TERMS AND CONDITIONS:

Chicago Scanning LLC requests a customer's credit card to be on file for all projects.

All sales are final. Chicago Scanning will provide adjustments and revisions when required.

The customer owns the rights to all original materials submitted to Chicago Scanning LLC.

The customer owns the rights to all digital materials produced for them by Chicago Scanning LLC.

The customer understands that the condition of the customer's original materials will impact the overall quality of the digital images or movies.

The customer will not hold Chicago Scanning LLC liable for items lost or damaged in the digitizing process, or by acts of God. The customer understands Chicago Scanning LLC reserves the right to refuse the transfer of any material.

Orders estimated by Chicago Scanning to cost over $500 will require a deposit of 50% of the estimated cost to be paid in advance. The deposit will apply in full towards the final cost of the project. The final cost of a project may be more or less than the estimated amount.

Invoices paid with a credit card or are subject to a 3.5% credit card processing fee. This fee can be avoided by paying with Zelle, cash, or physical check.

Samples are available upon request and must be requested at the time of order dropoff. Samples will be billed at the standard rate upon project completion.

Unless the customer has selected the option on this intake form giving Chicago Scanning permission to dispose of their original materials, the customer agrees to pick up their completed project and original materials from Chicago Scanning's office within 30 days from the date that their final invoice is emailed.

The customer acknowledges that if they do not collect their original materials from Chicago Scanning within 30 calendar days from the date their final invoice is emailed to them, their items will be disposed of.

I understand and agree to Chicago Scanning LLC's terms and conditions*

YES
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