Complete this form, enclose with order & mail to:

DCC Photo & Digital Imaging - 840 North Park Road - Wyomissing, PA 19610
Print this form & include it with your order. Print all information. Phone numbers WILL expedite problem orders!

Name:________________________________________ Phone (______) ________________

Address______________________________________________________________________

Address______________________________________________________________________

City ____________________________________________ St. ______ Zip _______________
CIRCLE the Services Requested:  Dev.& Print ~ E-6 Slides ~ Reprints ~ Enlargements ~ B&W ~ Other
Film ~ Size & Exposure # Rolls # Prints Each Size Matte Glossy ------Amount
35 mm 12 exp ~24 exp ~ 36 exp _______ _______ _______ _______ _______ $
35 mm 12 exp ~ 24 exp ~36 exp _______ _______ _______ _______ _______ $
35 mm 12 exp ~ 24 exp ~36 exp _______ _______ _______ _______ _______ $
120_____ 6x4.5----6x6----6x7 format _______ _______ _______ _______ _______ $
220_____ 6x4.5----6x6----6x7 format _______ _______ _______ _______ _______ $
_______ _______ _______ _______ _______ $
Enlargments/Reprints
Negative # Quantity Size Enlargmt/Reprint Negative # Quantity Size Enlargement $---Amount
_______ _______ _______ _______ _______ _______ $
_______ _______ _______ _______ _______ _______ $
_______ _______ _______ _______ _______ _______ $
_______ _______ _______ _______ _______ _______ $
_______ _______ _______ _______ _______ _______ $
_______ _______ _______ _______ _______ _______ $
Shipping on orders under $ 20 add $ 4.00
PA Sales Tax
 $
2nd Day FedEx/Air
 $
Total
 $
Item Shipping $ Amount
Techniques Instructional Glamour Photo CD ROM_(Contains nudity you must be 18 to purchase) $ 5.00 $ 49.95
Expose Instructional Glamour Modeling CD ROM (Contains nudity you must be 18 to purchase) $ 5.00 $ 29.95
Techniques / Expose CD ROM Package (Contains nudity you must be 18 to purchase)
FREE
 $ 69.95

Enclosed is a: Check Money Order    $_____________

Charge My VISA / Mastercard / Discover/ AMEX ... Card #  

Card Number _____________________________________________ EXP. Date___/____/_____

Special instructions ______________________________________________________________

_____________________________________________________________________________