Important: When you have filled out the order form to your satisfaction, click on the SEND button at the very bottom to submit your order. Then locate your image file and transmit it.
SEND
Send to:
Specify how you would like the results of computer imaging delivered. by E-mail as attachment by E-mail as transmitted file by FAX by mail
If you submit a color file, please specifiy the format which you prefer returned.
The Fee for Computer Imaging is $250.00 (U.S.).
- TOTAL $ (U.S.)
We cannot process orders without completion of this section.
Credit Card Type:
- Name on Card - Card Number - Expiration Date
Copyright 1996 Robert L. Cucin, M.D.