Rachael's Kopy Kat & Scanning Service

Name _____________________________________________________________________ Address____________________________________________________________________ City_________________________  State_____________  Zip Code_________-__________ No of Photos______ X $1.50 =                _$________ No of Discs Needed______X $1.50 =       _$________  24 Photos per disc No of Diskettes Needed______X $1.00 =  _$________ Subtotal                                                  _$________ Tax  Subtotal X .05(5%)                           _$_______ Shipping & Handling  ____discs X $0.50 =_$________ Total                                                     _$________