Digital Holographics Order Form

  • Print, fill out and send along with your photographs
  • Your photo(s) will be returned with your order
  • Email digital images to orders@digitalholographics.com

PLEASE PRINT!

Ship to: Billing address: (if different)
Name:____________________________________ Name:____________________________________
Address:__________________________________ Address:__________________________________
City:_____________________________________ City:_____________________________________
State:______________ State:______________
Zip:________________ Zip:________________
Phone:___________________________________
Evening/Cell:______________________________
E-Mail:___________________________________

Item ID # Description Engraved text (30 characters max) Price
       
       
       
       
       
       
       
       
Added sum of ordered items
  
Shipping $3.95 [free if over $50]
  
Tax 8.25% [California residents only]
  
Total Due
  


Send to:
Digital Holographics
2662 Dorado Court
Thousand Oaks, CA 91362
USA

Check or Money Order attached $___________ Make payable to Digital Holographics
Limit of Liability
The photographic materials you send will be handled with care.
However, we are not responsible for any damage or loss of your photos.