COUPON I-D ________________________ date __________ date
needed __________
B&W write-up negs + contacts dr5-chrome
Shipping: 601
GALAPAGO DENVER CO 80204. 303
534 2dr5 
Production
schedule CALL
NEED AN OFF-PRODUCTION DAY RUN (RUSH CHARGES APPLY)
1) FILM TYPE______________exp ISO_____________
DEV.NORMAL
push/pull _______
2) FILM TYPE______________exp ISO_____________ DEV.NORMAL push/pull _______
3) FILM TYPE______________exp ISO_____________
DEV.NORMAL
push/pull _______
35mm
120
220
4X5
5x7
8X10
SPECIAL RUN INSTRUCTIONS:__________________________________________________
Proof-Sheets
Develop only
SPECIAL PROOFING INSTRUCTIONS:_____________________________________________
PROOFING CONTRAST GRADE:
#1
#2
#3
#4
#5
SHIPPING:
USPS - PRIORITY or EXPRESS / FEDXground - DEFAULT or CLIENT ACCOUNT, 2-day or SAVER
UPS - DELIVERY ONLY FEDX or
UPS - SHIP account#___________________________
PHONE
& EMAIL IS REQUIRED. PLEASE WRITE IT DOWN.
Phone
#: _____________________ EMAIL
_______________________________________
Name & Shipping
Address________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
PAYMENT: VISA
. MASTERCARD . AMEX . DISCOVER . PAYPAL - 
CHECKS-PAYABLE TO: David
Wood or dr5 (PAYPAL FEE – 3%)
C/C ACCOUNT #________________________EXP.
DATE_____CARD ZIP CODE________ CV2 CODE ___