Clone of Shoebox Photo Booking Form

VHS/Film/Documents Booking Form
Full Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Media to Scan
Approx Number of Items to Scan
Pick Up Service (Charges Apply)

Customer Pick Up (Free)
Delivery Service (Charges Apply)

Customer Drop Off (Free)
Any other information to help us with your scanning?
Signature
Please verify if you are Human
Please send your carefully packaged photos to:

Photo Digital Services

3 Ricketts Place

BUNGENDORE NSW 2621

If you require any further details please call

Shane Tanner

Photo Digital Services

 Ph: 0493 706 286

www.photodigitalservices.com.au

enquiry@photodigitalservices.com.au
'; var analyticsAutoLink = ''; (function(i,s,o,g,r,a,m){i['GoogleAnalyticsObject']=r;i[r]=i[r]||function(){(i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o), m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m) })(window,document,'script','https://www.google-analytics.com/analytics.js','ga'); ga('create', ' ', 'auto', {'allowLinker': true}); ga('send', 'pageview'); if(window.analyticsAutoLink && analyticsAutoLink != '') {analyticsAutoLink = analyticsAutoLink.replace(/ /g, '').split(/[,\n]/g);ga('require', 'linker');ga('linker:autoLink', analyticsAutoLink);}
*Please Note there is a $19.95 Set-Up fee per job*

**Please not a Cleaning Fee of $30.00 maybe charged**
Should be Empty:

VHS/Film/Documents Booking Form