| FayesPhotofix Restoration form |
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| Name:____________________________________________ Address:__________________________________________ City:_______________________State:_______Zip:____________ Phone#(___)_________________Email:______________________ Please include instructions of what you want done to your photo ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ Please state that you are the owner of the enclosed photos or have permission to restore or get prints from the enclosed photos . Signature:X_______________________________Date:_____________ Amount Enclosed $_________Allow time for bank checks to clear Please make payments to Faye Clark /memo: Fayesphotofix service |
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| Mail Your Photos to : Fayes Photofix PO Box 1624 Flippin, Ar. 72634 |
| * IMPORTANT: At no time will Fayes Photofix be responsible for copyright infringement. We will not duplicate copyright material without signature. |