Questionnaire For a Microfilm Page Printing Quote - BETA

Printable Form

My Contact Information:
	Name
	Company
	Title
	My companies web http://
I Prefer to be Contacted By:
	Phone		Ext
	e-mail

Name of My Application or Job:

Index of the Questionnaire
Microfilm Page Printing
Delivery or Shipping
Payment Method
Any other details

Microfilm Page Printing

I have the following type of microfilm that needs Printed:
	16mm Roll Microfilm
	16mm Jackets
	35mm Roll Microfilm
	35mm Jackets
	35mm Aperture Cards
	105mm COM Microfiche
	105mm True Microfiche
Do you know if your film is a master or a duplicate?
	Master			Will provide better quality prints
	Duplicate			Can provide quality prints, but more often than not they won't
Is your film Positive or Negative:
	Positive			has dark writing on clear background
	Negative			has clear writing on a blue or black background
What size of prints would you like:
	8.5 x 11
	11 x 17
How many sets of prints do you need?
Approximately many images do you need printed (in one set)

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Delivery or Shipping:
	FicheNet Imaging Solutions Pick Up and Deliver
	Use my own Company Courier
	Ship with Fed Ex
	Ship with UPS
	Ship with USPS
	Overnight? Second Day? Special Hours? Other:

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I Wish to Pay by: (all Invoices are Due Upon Receipt Unless otherwise arranged)
	Purchase Order / Company Check
	PayPal
	Personal Check
	Cash
	Other:

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Any Other Details Below:

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