Customer Intake Form Table of Contents Toggle 1. Contact Information2. How Did You Find Us?3. Your Order4. Payment5. Terms & Agreement6. Signature7. Notes 1. Contact Information Date Name Phone Number Email Address 2. How Did You Find Us? Google Facebook YouTube LinkedIn Bing Other If other, please specify 3. Your Order What are we transferring? (photos, slides, VHS, 8mm, audio, etc. and approximate quantity) Tick one or both. Digital Download 15 DAYS FREE Flash Drive SIZE SET AFTER YOUR JOB 32 GB$12 64 GB$30 128 GB$32 256 GB$50 512 GB$90 1 TB$160 Price per drive. Scan A Lot selects the drive size and confirms your final price once your job is complete. 4. Payment A 50% deposit is invoiced before we start. We accept credit card, Apple Pay, Google Pay, Venmo, PayPal, and cash. 5. Terms & Agreement A 50% deposit is required before your job can start. Orders left unclaimed after 30 days will be disposed of. Your photos and files are used only to complete your order and are not shared with others. I have read and agree to these terms. 6. Signature Clear signature 7. Notes Submit Intake Form Share this: Share on Facebook (Opens in new window) Facebook Share on X (Opens in new window) X
