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Document Imaging Products
Kodak Scanning Technology
Keep it Simple. Keep it Kodak.

Please complete the categories that apply to your conversion services needs (Data Migration, Media Migration, and/or Film/Fiche/Aperture Card Conversions). If you have a Film Conversion, be sure to also fill out the sections labeled "Output Images", "Indexing", & "Other".

If you don't have answers to the questions on the form, give us a call (704-226-5601) and we'll walk you through the process. Once we receive your information, we will email a quote to you within 2 business days.

CONTACT INFORMATION
 
*First Name:   
*Last Name:   
*Company Name:   
*Address 1:   
Address 2:   
*City:   
*State / Province:  
*Zip / Postal Code:   
*Country:  
*E-mail:   
*Phone:   
Fax:   
 
*Please send me promotional e-mails from KODAK Document Products and Services.
  Yes   No    

 
*What category best describes your business?:
 
 
DATA MIGRATION
 
Describe your current system:
  
 
What system you are moving to:
  
 
Type of media (CDs, platters, etc.):   
 
Quantity of media:   
 
Capacity of media (16 Gigabytes, etc):   
 
How do you want your data back?
CD
DVD
USB
Other
 
If Other, please specify:   
 
 
If COLD data, what is compression ratio (if known):   
 
Is there anything else we should know:
  
 
MEDIA MIGRATION
 
Describe your current environment that is being managed by your backups. (i.e. Operating Systems, Hardware). Please include any information that you feel is important regarding this conversion.:
  
 
What is your...
Input Backup Software:   
Input Backup Software Version:   
Input Media To Migrate:   
Quantity of media to migrate:   
Target Media:   
Target Backup Software:   
 
Brief description of what type of data is currently being backed up? Databases, email, images, etc:
  
 
Is there anything else we should know:
  
 
FILM, FICHE, & APERTURE CARD CONVERSIONS
 
Please fill out the section that you are interested in.
 
> Microfiche
 
How many sheets of microfiche are to be converted:   
 
What type of fiche is to be converted
COM
Jacket Based
Other
 
If Other, please specify:   
 
For jacket based fiche, what is the average number of frames per sheet:   
 
For COM fiche, how many rows and columns per sheet:   
 
If known, what reduction ratio is used on the fiche?
24x
32x
40x
50x
Other
 
If Other, please specify:   
 
What is the size of the original documents?
11" x 14"
8.5" x 11"
8.5" x 14"
Other
 
If Other, please specify:   
 
Is there a stripe or human readable data on the top of the sheet of fiche that can be used as indexing criteria?
No
Yes
 
 
> Microfilm -- roll film
 
How many rolls are to be converted:   
 
What type of film is to be converted?
16mm
35mm
Other
 
If Other, please specify:   
 
What is the length of the rolls of film?
100'
215'
Other
 
If Other, please specify:   
 
What is the average number of frames per roll of film:   
 
If known, what reduction ratio is used on the film?
24x
32x
40x
50x
Other
 
If Other, please specify:   
 
What is the film mode?
Duo
Duplex
Simplex
Other
 
If Other, please specify:   
 
What is the size of the original documents?
11" x 14"
8.5" x 11"
8.5" x 14"
Other
 
If Other, please specify:   
 
Are blip marks present on the film?
No
Yes
 
If so, how many levels of marks are used:   
 
> Aperture Cards
 
How many cards are to be converted:   
 
What is the average number of frames per card:   
 
If known, what reduction ratio is used on the film?
24x
32x
40x
50x
Other
 
If Other, please specify:   
 
What is the size of the original documents?
11" x 14"
8.5" x 11"
8.5" x 14"
Other
 
If Other, please specify:   
 
Are the cards punched with Hollerith code index data?
No
Yes
 
 
OUTPUT IMAGES
 
What format should the images be converted to?
JPEG
Other
PDF
TIFF
 
If Other, please specify:   
 
What DPI should the image be captured at?
200DPI
300DPI
Other
 
If Other, please specify:   
 
What output media will the images be returned on?
CD
DVD
Other
 
If Other, please specify:   
 
INDEXING
 
What other (if any) data needs to be extracted from the images either manually or via Optical Character Recognition? Specify field sizes, data types, validation rules, and positions on the images for each piece of index data that is to be captured.:
  
 
What format does the index data need to be returned in?
Comma Delimited
Other
 
If Other, please specify:   
 
OTHER
 
Do you want your film returned or destroyed by our certified destruction service?
Destroy the film
Return the film
 
 
Is there anything else we should know?:
  
 
Is there something that you want done and is not listed above? Please describe: