Free Picture Scanning Form
name:
email:
Scanning Preferences
Do you want your one-free picture scan?
yes
no
Additional picture scannings?
none
1
2
3
4
5
6
7
8
9
10
more than 10
Amount of your check you sending? ($2 per additional picture)
none
$2
$4
$6
$8
$10
$12
$14
$16
$18
$20
more than $20
Which picture sample do you want your own picture to look like?
sample 1
sample 2
sample 3
sample 4
Picture size?
3 x 4.5 inches
6 x 7.5 inches
8 x 5.5 inches
8 x 11 inches
13 x 16 inches
Border around your picture?
yes
no
comments or questions?
Include the scanning preferences for each picture if you have more than one picture to scan.
Free Picture Scanning Form