A
B
C
D
Film templates available for your ArtixScan 120tf
There are 3 easy ways to order:
1. Call Microtek Customer Service at 310-687-5940 (refer to part numbers below);
2. Complete and fax this form to 310-687-5984 or
3. Complete and mail with your credit card information or a check to:
Microtek Lab, Inc., Attn: Customer Service Dept.
16941 Keegan Avenue, Carson, CA 90746
Item Description
A
Medium Format Film Template
(Holds 6 x 4.5cm, 6 x 6cm, 6 x 7cm, or 6 x 9cm film)
Glass Medium Format Film Template
B
(Holds 6 x 4.5cm, 6 x 6cm, 6 x 7cm, or 6 x 9cm film)
Glass (Newton Ring-free) to prevent film curl
35mm Slide Template
C
(Holds four 35mm slides)
35mm Film Template
D
(Holds 35mm negative or panoramic strip)
Shipping options:
UPS Ground $15
If your order exceeds $250 your order will be sent UPS Ground at no charge.
(Please allow 24-48 hours for order processing)
Name
Company
IF APPLICABLE
Shipping Address
NO P .O. BOX ADDRESSES
City
Phone
MasterCard/Visa/American Express/Discover #
Part Number
1 unit
Circle the quantity you are ordering
I41-011277
$60
MK-0010-043
$130 $120ea $110ea $100ea $90ea
I41-011336
$30
I41-011337
$35
FedEx 2-day $20
FedEx Overnight $25
Title
IF APPLICABLE
State
Fax
2 units
3 units 5 units 10 units
$55ea $50ea $45ea $40ea
$28ea $25ea $20ea $15ea
$30ea $25ea $25ea $15ea
Subtotal: $
Shipping: $
California customers add 8.0% sales tax: $
Arizona customers add 5.6% sales tax: $
Total: $
Dept/Floor
Suite/Apt. #
Zip
Email
Expiration Date
Subtotal
I49-003719
219-20-210012
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