SCAN ONLY
Film Scanning Intake Form

This service is for film that has already been developed. If you require film developing, please fill out either THE STANDARD or THE SECRET MENU forms through our website.

We will scan all frames provided unless otherwise specified. $15.00 minimum order.
Sign in to Google to save your progress. Learn more
Date
*
MM
/
DD
/
YYYY
Name (First & Last) *
E-mail *
Phone Number *
Can we text this number?
*
Clear selection
FILM TYPE & QUANTITY
Please select the type of film or image you are bringing in to be scanned.
CUT FILM
Quantity:
UNCUT FILM
Quantity:
OTHER 
Quantity:
File Size
JPEG Regular - 6000 px on long edge, 300 ppi, Adobe RGB (1998), 8 bits/component
JPEG Large - 8640 x 5760 px, 300 ppi, Adobe RGB (1998), 8 bits/component
TIFF - no compression, 300 ppi, Adobe RGB (1998), 16 bits/component
Select a file size *
Scan with Sprockets?
$5.00/uncut roll or $0.50/cut frame
Clear selection
Add Digital Dusting? we remove dust & spots from your film scans - converted scans only
Clear selection
Prints (4x6)?
Clear selection
NEGATIVE RETURN
*
If you've opted to have your order mailed to you, please provide your full mailing address.
Street Address, City, Province, Postal Code
Additional Comments:
Add any additional information regarding your order here. 
IMPORTANT INFO
  • PAYMENT IS REQUIRED BEFORE SERVICES ARE RENDERED.
  • Negatives are discarded after 1 (one) month if not picked-up. We will contact you by email and text before discarding your order. You can request an extension.
LIMIT OF LIABILITY

We make all reasonable efforts to ensure that your media (including but not limited to film, negative, slide, artwork, digital media; collectively hereinafter referred to as “YOUR MEDIA”) is handled safely and appropriately in all circumstances. However, despite our care and attention to detail while processing, scanning, handling, or storing YOUR MEDIA (“OUR SERVICES”), the possibility exists that errors may occur, that equipment and technology may fail, and that YOUR MEDIA may be lost, damaged, or destroyed during the performance of OUR SERVICES.

By submitting YOUR MEDIA to us, YOU HEREBY ACKNOWLEDGE, UNDERSTAND, AND AGREE that:

  1. We are not liable for any loss, damage, or destruction of YOUR MEDIA, even when due to our negligence and fault while performing OUR SERVICES.
  2. Your exclusive remedy against us is the replacement of YOUR MEDIA which has been lost, damaged, or destroyed by OUR SERVICES with a like amount of raw media (“YOUR MEDIA REPLACEMENT”).
    For example: If YOUR MEDIA includes three rolls of film, and we lose, damage, or destroy one of the three rolls of film while performing OUR SERVICES, you are entitled to receive from us one roll of unexposed film of like quality and character to the roll that was lost, damaged, or destroyed.
  3. Except for YOUR MEDIA REPLACEMENT as defined herein, the performance of OUR SERVICES on YOUR MEDIA is without any other warranty or liability, and you hereby waive, disclaim, and release us from all other claims, remedies, and recovery for any loss, destruction or damages of YOUR MEDIA, including incidental or consequential damages.
By submitting this form, you are confirming that you have read and agree to all of the above.
*
Required
Package your films together in a bag or envelope and clearly label it with your full name. We have bags under the lid of our drop box if you need one!
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of neatfilmlab.com.

Does this form look suspicious? Report