Place your order for photo, slide and picture scanning service <meta name="description" content="If you are interested in receiving a photo, slide scanning or picture scanning order form, please submit your information. "> <meta name="keywords" content="photo scanning order form, slide scanning order form, picture scanning order form"> <link rel="stylesheet" type="text/css" href="/includes/default.css"> <script language="javascript" src="/includes/functions.js"></script> <script Language="JavaScript" Type="text/javascript"></script> <script>  </script> <SCRIPT LANGUAGE="JavaScript1.2" SRC="./assets/rollover.js"></SCRIPT> <link rel=stylesheet type="text/css" href="./style.css"> <link rel=stylesheet type="text/css" href="./site.css"> <style> </style><nolayer> <style id="NOF_STYLE_SHEET">  </style> </nolayer> </head> <body topmargin="0" leftmargin="0" rightmargin="0" bottommargin="0" marginwidth="0" marginheight="0" background="images/back_page.gif"> <table border="0" cellpadding="0" cellspacing="0" width="100%" id="table1"> <tr> <td background="images/back_header.gif"> <table border="0" cellpadding="0" cellspacing="0" width="100%" id="table4"> <tr> <td width="234"> </td> <td width="731"> <table border="0" cellpadding="0" cellspacing="0" width="100%" id="table5"> <tr> <td width="310"> <a href="http://www.legacyscan.com/index.asp"> <img border="0" src="images/logo_legacy_top.gif" width="310" height="88" alt="Legacy Photo Scanning and Digitizing Services"></a></td> <td> <p align="center"> <a href="http://www.legacyscan.com/contact.asp"> <img border="0" src="images/header_contact.gif" width="261" height="88" alt="Questions? Call us at 877-73-PHOTO"></a></td> <td width="76"> <p align="right"> <a href="javascript:AddFavorite('http://www.legacyscan.com/?utm_source=bookmark&utm_medium=bookmark&utm_term=bookmark&utm_campaign=bookmark','Legacy%20Photo%20Scanning%20and%20Digitizing');"> <img border="0" src="images/icon_bookmark.gif" width="76" height="88" alt="Click here to Bookmark Our Site"></a></td> </tr> </table> <table border="0" cellpadding="0" cellspacing="0" width="100%" id="table6"> <tr> <td> <img border="0" src="images/logo_legacy_bottom.gif" width="310" height="21"></td> </tr> <tr> <td> <table id="NavigationBar1" border=0 cellspacing=0 cellpadding=0 NOF=NB_UYHPNY020 width=719> <tr valign=top align=left> <td width=78><a href="./index.asp" style="cursor:hand; text-decoration:none;" onMouseOver="F_loadRollover('NavigationButton1','',0);F_roll('NavigationButton1',1)" onMouseOut="F_roll('NavigationButton1',0)"><img id="NavigationButton1" name="NavigationButton1" height=30 width=78 src="./button_home_off.gif" onLoad="F_loadRollover(this,'button_home_on.gif',0)" border=0 alt="Home" title="Home"></a></td> <td width=104><a href="./scanning_process.asp" style="cursor:hand; text-decoration:none;" onMouseOver="F_loadRollover('NavigationButton2','',0);F_roll('NavigationButton2',1)" onMouseOut="F_roll('NavigationButton2',0)"><img id="NavigationButton2" name="NavigationButton2" height=30 width=104 src="./button_process_off.gif" onLoad="F_loadRollover(this,'button_process_on.gif',0)" border=0 alt="our process" title="our process"></a></td> <td width=135><a href="./pricing.asp" style="cursor:hand; text-decoration:none;" onMouseOver="F_loadRollover('NavigationButton3','',0);F_roll('NavigationButton3',1)" onMouseOut="F_roll('NavigationButton3',0)"><img id="NavigationButton3" name="NavigationButton3" height=30 width=135 src="./button_pricing_off.gif" onLoad="F_loadRollover(this,'button_pricing_on.gif',0)" border=0 alt="packages_prices" title="packages_prices"></a></td> <td width=127><a href="#" style="cursor:hand; text-decoration:none;" onMouseOver="F_loadRollover('NavigationButton4','',0);F_roll('NavigationButton4',1)" onMouseOut="F_roll('NavigationButton4',0)"><ilayer id="NavigationButton4"></ilayer><img id="NavigationButton4" name="NavigationButton4" height=30 width=127 src="./button_viewing_off.png" onLoad="F_loadRollover(this,'button_viewing_on.gif',new Array('NavigationBar1_1', 'vertical', 'bottom', 0, 28))" border=0 alt="Our services" title="Our services"></a></td> <td width=101><a href="./get_started.asp" style="cursor:hand; text-decoration:none;" onMouseOver="F_loadRollover('NavigationButton5','',0);F_roll('NavigationButton5',1)" onMouseOut="F_roll('NavigationButton5',0)"><img id="NavigationButton5" name="NavigationButton5" height=30 width=101 src="./button_getstarted_off.gif" onLoad="F_loadRollover(this,'button_getstarted_on.gif',0)" border=0 alt="get started" title="get started"></a></td> <td width=111><a href="./who_we_are.asp" style="cursor:hand; text-decoration:none;" onMouseOver="F_loadRollover('NavigationButton6','',0);F_roll('NavigationButton6',1)" onMouseOut="F_roll('NavigationButton6',0)"><img id="NavigationButton6" name="NavigationButton6" height=30 width=111 src="./button_who_off.gif" onLoad="F_loadRollover(this,'button_who_on.gif',0)" border=0 alt="Who we are" title="Who we are"></a></td> <td width=63 height=30><a href="./faqs.asp" style="cursor:hand; text-decoration:none;" onMouseOver="F_loadRollover('NavigationButton7','',0);F_roll('NavigationButton7',1)" onMouseOut="F_roll('NavigationButton7',0)"><img id="NavigationButton7" name="NavigationButton7" height=30 width=63 src="./button_faqs_off.gif" onLoad="F_loadRollover(this,'button_faqs_on.gif',0)" border=0 alt="FAQ's" title="FAQ's"></a></td> </tr> </table> </td> <td colspan=2 width=11><img id="Picture6" height=30 width=11 src="./assets/images/button_right_small.gif" border=0 alt="button_right_small" title="button_right_small"></td> </tr> </table> </td> <td width="8575"> </td> </tr> </table> </td> </tr> </table> <div align="center"> <table border="0" cellpadding="0" cellspacing="0" width="730" id="table7"> <tr> <td background="images/back_window.gif" style="font-family: Verdana; font-size: 10pt" valign="top"> <div align="right"> <table border="0" cellpadding="0" cellspacing="0" width="711" id="table27"> <tr> <td style="font-size: 10pt" valign="top"> <table border="0" cellpadding="0" cellspacing="0" width="100%" id="table28"> <tr> <td> <h2><br> <span class="style1">Place your order</span></td> </tr> <tr> <td style="font-size: 8pt; font-family: Verdana; font-style: italic; font-weight: bold"> </td> </tr> </table> </td> <td width="313" style="font-size: 10pt" valign="top"> <p align="right"> <img border="0" src="images/subpage_curve.gif" width="313" height="65" hspace="0"></td> </tr> </table> </div> <table border="0" cellpadding="0" cellspacing="0" width="100%" id="table9"> <tr> <td valign="top" width="20"> </td> <td valign="top" colspan="3"> </td> <td valign="top" width="20"> </td> </tr> <tr> <td valign="top" width="20"> </td> <td valign="top" colspan="3"> <div align="center"> <table border="0" cellpadding="0" cellspacing="0" width="100%" id="table21"> <tr> <td> <div align="center"> <table border="0" cellpadding="0" cellspacing="0" width="90%" id="table22"> <tr> <td width="34"> <img border="0" src="images/border_top_left.gif" width="34" height="14"></td> <td background="images/border_top.gif"><img border="0" src="images/border_top.gif" width="34" height="14"></td> <td width="34"> <img border="0" src="images/border_top_right.gif" width="34" height="14"></td> </tr> </table> </div> </td> </tr> <tr> <td> <div align="center"> <table border="0" cellpadding="0" cellspacing="0" width="90%" id="table23"> <tr> <td background="images/border_left.gif" width="10" valign="top"><img border="0" src="images/border_left_top.gif" width="10" height="56"></td> <td rowspan="2" bgcolor="#FFFFFF" valign="top" style="font-family: Verdana; font-size: 10pt"> <div align="center"> <p align="left" class="style2"><font color="#000000">Please complete the form below. Once completed, you will be able to download and print an order form. We will also send an email with the order form attached.</font> <br> <br> </p> <div align="left"><font size="3">*First Name </font> </div> <form name="form1" method="post" action=""> <div align="left"> <input type="text" name="textfield"> </div> </form> <p align="left"><font color="#000000" size="3" face="Arial, Helvetica, sans-serif">*Last Name</font></p> <form name="form2" method="post" action=""> <div align="left"> <input type="text" name="textfield2"> </div> </form> <p align="left"><font color="#000000" size="3" face="Arial, Helvetica, sans-serif">*Phone</font></p> <form name="form3" method="post" action=""> <div align="left"> <input type="text" name="textfield3"> </div> </form> <p align="left"><font color="#000000" size="3" face="Arial, Helvetica, sans-serif">*Email</font></p> <form name="form4" method="post" action=""> <div align="left"> <input type="text" name="textfield4"> </div> </form> <p align="left"><font color="#000000" size="3" face="Arial, Helvetica, sans-serif">*Repeat Email</font></p> <form name="form5" method="post" action=""> <div align="left"> <input type="text" name="textfield5"> </div> </form> <p align="left"><font color="#000000" size="3" face="Arial, Helvetica, sans-serif"></font></p> <p align="left"><font color="#000000" size="3">What services are you interested in?</font></p> <form name="form6" method="post" action=""> <p align="left"> <input type="checkbox" name="checkbox" value="checkbox"> Photo Scanning <input type="checkbox" name="checkbox2" value="checkbox"> Slide Scanning <input type="checkbox" name="checkbox3" value="checkbox"> Negative Scanning </p> <p align="left"> <input type="checkbox" name="checkbox4" value="checkbox"> APS (Advantix) Scanning <input type="checkbox" name="checkbox5" value="checkbox"> 8mm Movie Transfer</p> </form> <p align="left">Would you like to be contacted to discuss your order?</p> <form name="form7" method="post" action=""> <div align="left"> <input type="checkbox" name="checkbox6" value="checkbox"> Yes, Please Contact Me </div> </form> <form name="form8" method="post" action=""> <div align="left"> <input type="checkbox" name="checkbox7" value="checkbox"> No Thank You </div> </form> <p align="left">If yes, what is the best method of contact?</p> <form name="form9" method="post" action=""> <div align="left"> <input type="checkbox" name="checkbox8" value="checkbox"> Phone <input type="text" name="textfield6"> Best Time to call </div> </form> <form name="form10" method="post" action=""> <div align="left"> <input type="checkbox" name="checkbox9" value="checkbox"> Email </div> </form> <p align="left"> </p> <p align="left">How did your hear about us?</p> <form name="form11" method="post" action=""> <div align="left"> <input type="checkbox" name="checkbox10" value="checkbox"> Search Engine <input type="checkbox" name="checkbox103" value="checkbox"> Yellow Pages <input type="checkbox" name="checkbox104" value="checkbox"> Magazine </div> </form> <p align="left"> <input type="checkbox" name="checkbox102" value="checkbox"> Referred By Somone <input type="checkbox" name="checkbox105" value="checkbox"> Other <br> <br> <input type="button" name="Send" value="Send"><br> </p> </div> </td> <td background="images/border_right.gif" width="10" valign="top"><img border="0" src="images/border_right_top.gif" width="10" height="56"></td> </tr> <tr> <td width="10" height="659" valign="bottom" background="images/border_left.gif"><img border="0" src="images/border_left_bottom.gif" width="10" height="56"></td> <td background="images/border_right.gif" width="10" valign="bottom"><img border="0" src="images/border_right_bottom.gif" width="10" height="56"></td> </tr> </table> </div> </td> </tr> <tr> <td> <div align="center"> <table border="0" cellpadding="0" cellspacing="0" width="90%" id="table24"> <tr> <td width="34"><img border="0" src="images/border_bottom_left.gif" width="34" height="14"></td> <td background="images/border_bottom.gif"><img border="0" src="images/border_bottom.gif" width="34" height="14"></td> <td width="34"><img border="0" src="images/border_bottom_right.gif" width="34" height="14"></td> </tr> </table> </div> </td> </tr> </table> </div> </td> <td valign="top" width="20"> </td> </tr> <tr> <td width="20" height="18" valign="top"> </td> <td valign="top"> </td> <td valign="top" width="10"> </td> <td valign="top"> </td> <td valign="top" width="20"> </td> </tr> </table> </td> </tr> <tr> <td background="images/footer.gif" height="18" style="font-size: 8pt; font-family: Verdana; color: #FFFFFF"> <p align="center"><a href="http://www.legacyscan.com/contact.asp">Contact Us</a> | <a href="http://www.legacyscan.com/legal.asp">Legal & Privacy</a> | ©2007 Legacy Photo Scanning & Digitizing</td> </tr> </table> </div> <table width="93%" border="0" align="center"> <tr> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> </tr> <tr> <td width="6%"> </td> <td width="16%"> </td> <td width="19%"><div align="center"><a target="_blank" href="http://www.bbbonline.org/cks.asp?id=108040975649233"><img title="Click to verify BBB accreditation and to see a BBB report." border=0 src="bbbseal1.gif" alt="Click to verify BBB accreditation and to see a BBB report." oncontextmenu="alert('Use without permission is prohibited. The BBB Accredited Business seal is a trademark of the Council of Better Business Bureaus, Inc.'); return false;" /></a></div></td> <td width="20%"><div align="center">  <div class="AuthorizeNetSeal"> <script type="text/javascript" language="javascript">var ANS_customer_id="4a634ede-0a94-40de-a78c-e93a1896c4df";</script> <script type="text/javascript" language="javascript" src="//VERIFY.AUTHORIZE.NET/anetseal/seal.js" ></script> <a href="http://www.authorize.net/" id="AuthorizeNetText" target="_blank"></a> </div> </div></td> <td width="20%"><div align="center"> <img src="craditcards.jpg" width="43" height="88"> </div></td> <td width="13%"> </td> <td width="6%"> </td> </tr> </table> <p> </p> <p> </p> <p> </p> <script src="https://ssl.google-analytics.com/urchin.js" type="text/javascript"> </script> <script type="text/javascript"> _uacct = "UA-2581318-1"; urchinTracker(); </script> <SCRIPT language="javascript"> var C_MENU_BORDER = 0; var C_MENU_SPACING = 0; var C_MENU_BGCOLOR = ""; var C_MENU_AUTO_CLOSE = false; new NOF_Menu( new NOF_Main_Menu(new NOF_Menu_Item('NavigationBar1_1', 'vertical', 'bottom', 0, 28, new NOF_Menu_Button('./viewing_options.asp','./assets/images/autogen/Viewing_Options_Ndropmenu.gif','./assets/images/autogen/Viewing_Options_NRdropmenu_rollover.gif'),new NOF_Menu_Button('./photo_scanning.asp','./assets/images/autogen/Photo_Scanning_Ndropmenu.gif','./assets/images/autogen/Photo_Scanning_NRdropmenu_rollover.gif'),new NOF_Menu_Button('./slide_scanning.asp','./assets/images/autogen/Slide_Scanning_Ndropmenu.gif','./assets/images/autogen/Slide_Scanning_NRdropmenu_rollover.gif'),new NOF_Menu_Button('./negative_scanning.asp','./assets/images/autogen/Negative_Scanning_Ndropmenu.gif','./assets/images/autogen/Negative_Scanning_NRdropmenu_rollover.gif'),new NOF_Menu_Button('./8mm_movie_film_transfer.asp','./assets/images/autogen/8mm_Movie_Film_Transfer_Ndropmenu.gif','./assets/images/autogen/8mm_Movie_Film_Transfer_NRdropmenu_rollover.gif'))) ); </SCRIPT> </body> </html>