ORDERFORM

Item #s

Identification #s

Qty.

Name:

Address:

Phone:

E-mail:

State/Prov:

City:

Zip/Post. code:

Country:

The PixFixShop

3030 Marcos Dr. Suite T503

Aventura FL 33160

305-935-2450

E-mail:

Please fill out the below forms and mail with your pictures to the PixFixShop.

There will be No charges made until you inspect our work and are given a written estimate.

Please enter any comments or questions here.