Forbidden Fruit Stand On-line Order Form

Forbidden Fruit On-line Order Form

SCANNING SERVICES ORDER FORM
Please submit this form then mail your film or prints to me. This form willlet me know I should be looking for some mail.Before placing your order please read the disclaimer (Click Here).

Email Address...:
Have read and agree to Mount Equinox's Disclaimer Form (Choose one)....:
Agree to Mount Equinox's Disclaimer
No I don't Agree to Mount Equinox's Disclaimer
Name.........:

Shipping Address......:

If we are shipping to a P.O. please indicate your actual street address:

City.........:

State........:

Country......:

Zip/Postal...:

NY Residence (County or Borough) Helps me with my taxes:

Daytime Phone:

ORDER DETAILS

Click in the appropriate Circles:
Are you a member of the Exhibitionist Gallery....:
YES NO
Do you want your photos included in the gallery free of charge....:
YES NO
Will you require Developing....:
Yes NO
How many pictures are you asking for to be scanned:

Click little arrow on right of entry box to choose selection:File Format you would like your images saved to....:

AMOUNT DUE

Make all check or money orders payable to:Kevin J. BennettP.O. Box 222Fort Edward, NY 12828

If film processing is required- Don't forget to include your check,money order or cash in the amount of $10 plus $1 for each print youwould like scanned.
If no film processing is required- Don't forget to include your check,Money order or cash in the amount of $1 for each print you would likescanned.

ANY COMMENTS ABOUT YOUR ORDER?

Include comments here, if any:

Please double check the contents of this form for accuracy before pressingthe submit button:

Submit Order to: Forbidden Fruit Stand © Mount Equinox 1997

Forbidden Fruit On-line Order Form

ORDER DETAILS

AMOUNT DUE

ANY COMMENTS ABOUT YOUR ORDER?