PAC LAB PROCESSING ORDER FORM

Please fill out this form and print it from your browser. Then send it along with your film to be processed.               

CONTACT INFORMATION
Name

Company  
Phone

E-mail
SHIP TO ADDRESS
Street Address

City  
Address (cont.)

State/Province 
Apt. or Suite #

Zip/Postal Code

Country

PLEASE NOTE: Complete & correct shipping address information (including apartment number & zip code) MUST be provided or additional charges may be re-billed.              

Method of Return Shipping

SHIPPING NOTE: Shipping prices vary according to weight and destination.  Estimates reflect only packages weighing 8 oz to 2 lbs and traveling within the continental U.S.  Customers who wish to use FedEx or UPS services other than Next Day Air must provide their own account number or pre-paid airbill.

 Self Addressed Stamped Envelope (or Airbill) Included       Yes    No

Method of Payment

BILLING
Credit Card Cardholder Name 
Card Number Expiration Date    
BILLING ADDRESS on card if different.
Name

City
Street Address

State/Province
Address (cont.)

Zip Code

  Please list your film types and any processing instructions or special requests below.