Name: 
		Mr.Ms.Mrs. 
	Title: 
	Company: 

	Address: 
	Address: 
	City, State, Zip: 

	Email address: 
	Phone Number: 
	FAX Number: 

Film/Fiche Conversion Key Questions

1. Media:

Roll 16 mm
Roll 35 mm
Fiche

2. The page sizes of the images are:

Fixed Page Size: by
Variable Page Size:

Minimum: by

Maximum: by

3. Are there any colored frames required in color?

Yes
No

4. Are there any photographic frames required in greyscales?

Yes
No

5. The reduction ratio(s) used:

6. Blip:

Multi-Level
No Blip
Other:

7. DPI:

200 dpi
300 dpi
Other:

8. Is cropping needed?:

Yes
No

9. Polarity:

Positive Film
Negative Film

10. The Backdrop is:

White
Black

11. The Orientation of the images are:

Portrait
Landscape
Mixed:

12. The average number of frames per fiche/roll:

13. The borders, separation between the frames, is (IMPORTANT):

Clearly Marked and Detectable
Other:

14. The Overall Filming Quality

Very Good
Acceptable
Poor
Other. Please explain:

15. The volume size is:

Frames
Rolls
Fiche

16. The turnaround required is: Days Weeks Months

17. Please explain the indexing required:

18. QC Required: Please indicate if images require rotation, cropping, enhancement or deskewing.

19. Notes or Observations to be made: