Customer Information: Computer Type: Name......______________________________ MS Windows......_____ Address...______________________________ Apple Macintosh._____ City......______________________________ State..._____ Zip.......______________________________ Country._____ Phone.....______________________________ Birthdate.______________________________ Email Address __________________________ Order:
All ready processed Prints, Slides or Negatives
Up to 5 prints, negatives or slides ____$ 5.00____
Additional photos $1.00 each ______________
Postage and Handling ____$ 2.95____
TAX* ______________
Total ______________
Method of Payment: Check one: ___Check ___Visa ___Mastercard ___Discover Do not send cash Card No.__________________________ Exp. Date _________ Signature ________________________ Date _____________ Support Information: Address: Kodalux Digital Imaging Splash Kids Photo Contest P.O. Box 8610 Gaithersburg, MD 20898-9935 Phone: In the US 1.800.434.4491 All others +1.301.738.0002 Email: info@Kodalux.com Copyright Notice: We reserve the right to refuse to reproduce any image when such action would be prohibited under copyright law (Title 17 of the United States Code). By submitting an image for reproduction, you hereby represent that you own the copyright to such image or that you have obtained permission from the rightful copyright owner. Limit of Liability: Submitting any film, print, slide or negative to this firm for processing, printing, or handling constitutes an AGREEMENT by you that any damage or loss by our company, subsidiary or agents, even though due to our negligence or other fault of our company, subsidiary or agents, will only entitle you to replacement with a like amount of unexposed film. Except for such replacement, the acceptance of the film, print, slide or negative is without warranty or liability, and recovery for any incidental damages is excluded
