Photo Field Imaging

Photo Estimate and Repair Order Form

**Note:  Please fill out the following form completely.  Print out two copies, one for your personal records and the second to be sent to us with your order.  Once we have received your order, we will verify the options specified and the final price.

Purpose of this Request:

Estimate Only    Repair (deposit required)

When is Repair/Restore Due?

This is a RUSH job (48 hour turn-a-round time).  A surcharge will apply.

1 week or 5 business days.
Not sure.  To be determined.

Shipping Us Your Files:

If you intend on mailing us your items to us please review our packing and shipping instructions.  For final editing purposes, we always prefer to work with the original item(s).  Generally, the added shipping and handling costs are far outweighed by the quantity of the repair and restoration work that can be achieved.

For each of the files that you are sending, please make sure to fill in the special instructions either in the space below or on a separate piece of paper.

When complete, hit the Print button at the bottom of the page.

Uploading Us Your Files:

If you are uploading your photo's to us for either estimate or repair, click the "Browse" button, and select your photo.  Please limit the total amount of data to 10MB or less.  We can accept files in just about any digital format including TIFF, Jpeg and most "Camera RAW" formats.

File #1: 

File #2: 

File #3: 

File #4: 

File #5: 

For each of the files that you are sending, please make sure to fill in the special instructions in the space below. 

When complete, hit the "Submit Form" button at the bottom of the page.

Enter Payment Method:   

Payment Notes: When paying by PayPal you will be contacted by email with the final price and payment instructions.  Payments through PayPal are our preferred method of choice.
  Personal Checks and Money Orders are to be made payable to Photo Field Imaging.  Please note that personal checks may take up to 30 days to clear.

Please Enter Any Special Instructions: 

Enter Your Personal Information

Customer Name:
 Street Address:
Apt. #, Unit #, Suite, etc.
ZIP/Postal Code:
Daytime Phone:
Evening Phone:
Email Address:


Once complete, sent one copy of this form along with your items to be processed to:


Photo Field Imaging
661 Mossbank Court
Newmarket, Ontario, Canada
L3Y 3A9
Phone:  289-221-6568