Colorado Photo Heritage LLC
100 Snow Top Drive, PO Box 137, Drake, Colorado 80515-0137
Phone: 303-800-6433    http://www.coloradophotoheritage.com    E-mail:  service@coloradophotoheritage.com
Free Sample Request Form
Customer Contact and Shipping Information
Name:
Street Address:
City:						State:		Zip:
Telephone:
E-mail Address:
Item Number	Circle One			Price	Payment Information (if applicable)
1	Slide	Negative	Photo	FREE	Signature:
2	Slide	Negative	Photo	FREE
3	Slide	Negative	Photo	FREE
Hi Resolution Photos on CD?	Yes	Yes	Yes	FREE
Limitation of Liability: By doing business with us you agree that compensation for any damage to or loss of any material submitted to Colorado Photo Heritage LLC for any reason including negligence or other fault is limited to an equal amount of unexposed film.  Except for such replacement, our handling of any materials you send us is without warranty, and you agree to indemnify Colorado Photo Heritage LLC and its owners and operators against any and all other liabilities.
Copyrighted Material:  We will not scan or otherwise reproduce copyrighted material.  If you submit copyrighted material, it must be accompanied by written permission of the copyright owner.  By doing business with us you warrant that you are the copyright owner or that you have the permission of the copyright owner for all works you submit that are not clearly marked as copyrighted material.  You further agree to indemnify and hold harmless Colorado Photo Heritage LLC and its owners and operators against all claims of copyright infringement for material you submit for reproduction.                                                  (Form Revised 9/14/2006)