ORDER FORM | DDFHS Inc.

VINCENT STUDIOS PHOTOGRAPHIC COLLECTION

**Payment must be received before order will be completed**
We accept Cash, Cheque and Direct Deposit

Direct Deposit to DDFHS,
Regional Australia Bank (RAB) Dubbo
BSB: 932000 | Acct no: 781838
Please include your name and indicate “VINCENT STUDIOS” as payment reference.

NB: The SURNAME column of the Index refers to the customer who booked the services of Vincent Studio and not necessarily the person in the photo.

YOUR ORDER

SURNAME in Index

Folder

Letter

Page #

Pocket #

ADMIN FEE & DELIVERY METHOD COSTS

Qty

Cost

ADMIN FEE @ $15.00 PER SCAN

....via Email - no further charge

... via USB (supplied by DDFHS) $10.00

... Own new USB, in packet - no further charge

... USB postage $5.00

TOTAL COST

Your Name

Email*

Phone*

POSTAL ADDRESS (if applicable)

Street Address City State Postcode Country

YOUR PAYMENT

PAYMENT METHOD ( Cash | Chq | Direct Deposit )

Deposit amount (See Total Cost)

Date paid

Receipt no.

Message ( Optional )

Trustees of one of the largest collections of genealogical and historical resources outside of Sydney.