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| We Restore Your Precious Photos and more! |

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| Contact Information: *First & Last Name: *Return address: *City, State & Zip: Work Phone: *Home Phone: *E-mail: FAX: Best Time to Call: YOUR RESTORATION INSTRUCTIONS TO US (WE WILL BASE YOUR RESTORATION QUOTATION ON THESE INSTRUCTIONS) Please provide descriptive instructions regarding your photographic restoration. (i.e., repair torn photograph, remove discoloration and spots on face, repair fading, colorize the black and white photo, remove distracting elements from the image, etc.) __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ |
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