Please complete this form, and print it out using file, print.

Enclose this form together with your photograph, securely surrounded by stiff card.

Name

Address

Tel. No.

E-mail address

Service Required

Standard              
Advanced             
Expert                  
Expert Plus          

Brief details of photograph sent

Details of work to be carried out

Size of 'restored' photograph  7 x 5 10 x 8 12 x 10 16 x 11

Quantity of 'restored' photograph 1 2 3 4 5 6 7 7 8 9 10

Any Further Comments

Total Cost

Please make cheques payable to Julie Lowe

Please post this form, together with your photograph (enclosed within stiff board) and cheque to

Julie Lowe Photographic
27 Lancaster Road
Huyton
L36 1UP

PLEASE ENSURE YOU POST YOUR PHOTOGRAPH BY RECORDED DELIVERY