Film templates available for your ArtixScan 120tf A 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 Part Number 1 unit 2 units 3 units 5 units 10 units Subtotal B A Medium Format Film Template (Holds 6 x 4.5cm, 6 x 6cm, 6 x 7cm, or 6 x 9cm film) Circle the quantity you are ordering I41-011277 $60 $55ea $50ea $45ea $40ea B Glass Medium Format Film Template MK-0010-043 $130 $120ea $110ea $100ea $90ea (Holds 6 x 4.5cm, 6 x 6cm, 6 x 7cm, or 6 x 9cm film) Glass (Newton Ring-free) to prevent film curl C 35mm Slide Template (Holds four 35mm slides) I41-011336 I41-011337 $30 $28ea $25ea $20ea $15ea C D 35mm Film Template (Holds 35mm negative or panoramic strip) $35 $30ea $25ea $25ea $15ea Subtotal: $ Shipping options: UPS Ground $15 FedEx 2-day $20 FedEx Overnight $25 Shipping: $ If your order exceeds $250 your order will be sent UPS Ground at no charge. (Please allow 24-48 hours for order processing) California customers add 8.0% sales tax: $ Arizona customers add 5.6% sales tax: $ D Name Company IF APPLICABLE Shipping Address NO P.O. BOX ADDRESSES City Phone Fax Title IF APPLICABLE Dept/Floor Suite/Apt. # State Zip Email Total: $ MasterCard/Visa/American Express/Discover # Expiration Date I49-003719 219-20-210012 ...