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ATTENTION SLIDESHARERS:This presentation is part 2 of a 2 part presentation.
The first half of this presentation can be viewed at:www.slideshare.net/stephenpa
Travel Network User Experience | sabreux.comhttp://flickr.com/photos/juanignaciosl/237734498/
CASESTUDIES
MARKED FOR LIFE TATTOO MODIFICATION INFORMATIONNOTE: The information below is required by the Indiana Health Department. All information will kept confidential.LAST NAME:1
FIRST NAME:
I!M GETTING A:2
Tattoo Piercing FROM: Mark Isaacs, Owner Other artist:
4 Use the diagram below to indicate where your tattoo(s) or piercing(s) will be located:
FRONTBACK
RIGHT EAR LEFT EAR
SIGNATURE:5
DATE: - -I hereby affirm under the penalties of purgery that the preceding statements are true/correct to the best of my knowledge. GUARDIAN CONSENT (ONLY NEEDED FOR MINORS)
GUARDIAN SIGNATURE:
DATE: - -By signing as the above minor’s legal guardian I take full responsibility for any legal issues that may take place in reference to the above
minor. Also by signing I give Marked for Life Tattoo consent to perform the above modification on the listed minor. I understand that I
must be present and sign for any future modifications while the above listed is under the legal age . I affirm under the penalties of purgery that the foregoing statements are true/correct to the best of my knowledge.
3 Please describe your Tattoo(s) or Piercing(s):
MARKED FOR LIFE TATTOO CUSTOMER INFORMATION
LAST NAME:1
FIRST NAME:
STREET:2
CITY:STATE:
ZIPCODE:
DAYTIME PHONE:3
EVENING PHONE:- -
- -
IDENTIFICATION: The Indiana Health Department requires a photo identification and a proof of signature:
4
Photo ID provided (check one):
Driver’s License
Student ID
State ID
Employee ID
Other photo ID:
Signature ID provided (check one):
Credit/Debit card
Calling card
Wholesale membership card
Hunting/Fishing license
Other:
Please attach your ID’s to this form so they can be photocopied.
SIGNATURE:6
DATE:- -
I hereby affirm under the penalties of purgery that the preceding statements are true/correct to the best of my knowledge.
DATE OF BIRTH:5
/ / If you are under 18, a guardian will need to sign for you (below)
!
GUARDIAN CONSENT (ONLY NEEDED FOR MINORS)
By signing as the above minor’s legal guardian I take full responsibility for any legal issues that may take place in reference to the above
minor. Also by signing I give Marked for Life Tattoo consent to perform the above modification on the listed minor. I understand that I
must be present and sign for any future modifications while the above listed is under the legal age .
I affirm under the penalties of purgery that the foregoing statements are true/correct to the best of my knowledge.
LAST NAME:
FIRST NAME:
STREET:
CITY:STATE:
ZIPCODE:
DAYTIME PHONE:EVENING PHONE:
- -
- -
IDENTIFICATION: The Indiana Health Department requires a photo identification and a proof of signature:
Photo ID provided check one):
Driver’s License
Student ID
State ID
Employee ID
Other photo ID:
Signature ID provided check one):
Credit/Debit card
Calling card
Wholesale membership card
Hunting/Fishing license
Other:
Please attach your ID’s to this form so they can be photocopied.
GUARDIAN SIGNATURE:
DATE:- -
DATE OF BIRTH:/ /
NOTE: The information below is required by the Indiana Health Department. All information will kept confidential.
MARKED FOR LIFE TATTOO CUSTOMER INFORMATION
LAST NAME:1 FIRST NAME:
STREET:2 CITY: STATE: ZIPCODE:
DAYTIME PHONE:3 EVENING PHONE:- - - -
IDENTIFICATION: The Indiana Health Department requires a photo identification and a proof of signature:4
Photo ID provided (check one):
Driver’s License
Student ID
State ID
Employee ID
Other photo ID:
Signature ID provided (check one):
Credit/Debit card
Calling card
Wholesale membership card
Hunting/Fishing license
Other:
Please attach your ID’s to this form so they can be photocopied.
SIGNATURE:6 DATE: - -
I hereby affirm under the penalties of purgery that the preceding statements are true/correct to the best of my knowledge.
DATE OF BIRTH:5 / / If you are under 18, a guardian will need to sign for you (below)!
GUARDIAN CONSENT (ONLY NEEDED FOR MINORS)
By signing as the above minor’s legal guardian I take full responsibility for any legal issues that may take place in reference to the above
minor. Also by signing I give Marked for Life Tattoo consent to perform the above modification on the listed minor. I understand that I
must be present and sign for any future modifications while the above listed is under the legal age .
I affirm under the penalties of purgery that the foregoing statements are true/correct to the best of my knowledge.
LAST NAME: FIRST NAME:
STREET: CITY: STATE: ZIPCODE:
DAYTIME PHONE: EVENING PHONE:- - - -
IDENTIFICATION: The Indiana Health Department requires a photo identification and a proof of signature:
Photo ID provided check one):
Driver’s License
Student ID
State ID
Employee ID
Other photo ID:
Signature ID provided check one):
Credit/Debit card
Calling card
Wholesale membership card
Hunting/Fishing license
Other:
Please attach your ID’s to this form so they can be photocopied.
GUARDIAN SIGNATURE: DATE: - -
DATE OF BIRTH: / /
NOTE: The information below is required by the Indiana Health Department. All information will kept confidential.
MARKED FOR LIFE TATTOO CUSTOMER INFORMATION
LAST NAME:1 FIRST NAME:
STREET:2 CITY: STATE: ZIPCODE:
DAYTIME PHONE:3 EVENING PHONE:- - - -
IDENTIFICATION: The Indiana Health Department requires a photo identification and a proof of signature:4
Photo ID provided (check one):
Driver’s License
Student ID
State ID
Employee ID
Other photo ID:
Signature ID provided (check one):
Credit/Debit card
Calling card
Wholesale membership card
Hunting/Fishing license
Other:
Please attach your ID’s to this form so they can be photocopied.
SIGNATURE:6 DATE: - -
I hereby affirm under the penalties of purgery that the preceding statements are true/correct to the best of my knowledge.
DATE OF BIRTH:5 / / If you are under 18, a guardian will need to sign for you (below)!
GUARDIAN CONSENT (ONLY NEEDED FOR MINORS)
By signing as the above minor’s legal guardian I take full responsibility for any legal issues that may take place in reference to the above
minor. Also by signing I give Marked for Life Tattoo consent to perform the above modification on the listed minor. I understand that I
must be present and sign for any future modifications while the above listed is under the legal age .
I affirm under the penalties of purgery that the foregoing statements are true/correct to the best of my knowledge.
LAST NAME: FIRST NAME:
STREET: CITY: STATE: ZIPCODE:
DAYTIME PHONE: EVENING PHONE:- - - -
IDENTIFICATION: The Indiana Health Department requires a photo identification and a proof of signature:
Photo ID provided check one):
Driver’s License
Student ID
State ID
Employee ID
Other photo ID:
Signature ID provided check one):
Credit/Debit card
Calling card
Wholesale membership card
Hunting/Fishing license
Other:
Please attach your ID’s to this form so they can be photocopied.
GUARDIAN SIGNATURE: DATE: - -
DATE OF BIRTH: / /
NOTE: The information below is required by the Indiana Health Department. All information will kept confidential.
Guided workflow
MARKED FOR LIFE TATTOO CUSTOMER INFORMATION
LAST NAME:1 FIRST NAME:
STREET:2 CITY: STATE: ZIPCODE:
DAYTIME PHONE:3 EVENING PHONE:- - - -
IDENTIFICATION: The Indiana Health Department requires a photo identification and a proof of signature:4
Photo ID provided (check one):
Driver’s License
Student ID
State ID
Employee ID
Other photo ID:
Signature ID provided (check one):
Credit/Debit card
Calling card
Wholesale membership card
Hunting/Fishing license
Other:
Please attach your ID’s to this form so they can be photocopied.
SIGNATURE:6 DATE: - -
I hereby affirm under the penalties of purgery that the preceding statements are true/correct to the best of my knowledge.
DATE OF BIRTH:5 / / If you are under 18, a guardian will need to sign for you (below)!
GUARDIAN CONSENT (ONLY NEEDED FOR MINORS)
By signing as the above minor’s legal guardian I take full responsibility for any legal issues that may take place in reference to the above
minor. Also by signing I give Marked for Life Tattoo consent to perform the above modification on the listed minor. I understand that I
must be present and sign for any future modifications while the above listed is under the legal age .
I affirm under the penalties of purgery that the foregoing statements are true/correct to the best of my knowledge.
LAST NAME: FIRST NAME:
STREET: CITY: STATE: ZIPCODE:
DAYTIME PHONE: EVENING PHONE:- - - -
IDENTIFICATION: The Indiana Health Department requires a photo identification and a proof of signature:
Photo ID provided check one):
Driver’s License
Student ID
State ID
Employee ID
Other photo ID:
Signature ID provided check one):
Credit/Debit card
Calling card
Wholesale membership card
Hunting/Fishing license
Other:
Please attach your ID’s to this form so they can be photocopied.
GUARDIAN SIGNATURE: DATE: - -
DATE OF BIRTH: / /
NOTE: The information below is required by the Indiana Health Department. All information will kept confidential.clear
description of what is needed
(and why)
MARKED FOR LIFE TATTOO CUSTOMER INFORMATION
LAST NAME:1 FIRST NAME:
STREET:2 CITY: STATE: ZIPCODE:
DAYTIME PHONE:3 EVENING PHONE:- - - -
IDENTIFICATION: The Indiana Health Department requires a photo identification and a proof of signature:4
Photo ID provided (check one):
Driver’s License
Student ID
State ID
Employee ID
Other photo ID:
Signature ID provided (check one):
Credit/Debit card
Calling card
Wholesale membership card
Hunting/Fishing license
Other:
Please attach your ID’s to this form so they can be photocopied.
SIGNATURE:6 DATE: - -
I hereby affirm under the penalties of purgery that the preceding statements are true/correct to the best of my knowledge.
DATE OF BIRTH:5 / / If you are under 18, a guardian will need to sign for you (below)!
GUARDIAN CONSENT (ONLY NEEDED FOR MINORS)
By signing as the above minor’s legal guardian I take full responsibility for any legal issues that may take place in reference to the above
minor. Also by signing I give Marked for Life Tattoo consent to perform the above modification on the listed minor. I understand that I
must be present and sign for any future modifications while the above listed is under the legal age .
I affirm under the penalties of purgery that the foregoing statements are true/correct to the best of my knowledge.
LAST NAME: FIRST NAME:
STREET: CITY: STATE: ZIPCODE:
DAYTIME PHONE: EVENING PHONE:- - - -
IDENTIFICATION: The Indiana Health Department requires a photo identification and a proof of signature:
Photo ID provided check one):
Driver’s License
Student ID
State ID
Employee ID
Other photo ID:
Signature ID provided check one):
Credit/Debit card
Calling card
Wholesale membership card
Hunting/Fishing license
Other:
Please attach your ID’s to this form so they can be photocopied.
GUARDIAN SIGNATURE: DATE: - -
DATE OF BIRTH: / /
NOTE: The information below is required by the Indiana Health Department. All information will kept confidential.
Previously this was looked
over
MARKED FOR LIFE TATTOO MODIFICATION INFORMATION
NOTE: The information below is required by the Indiana Health Department. All information will kept confidential.
LAST NAME:1 FIRST NAME:
I!M GETTING A:2 Tattoo Piercing FROM: Mark Isaacs, Owner Other artist:
4 Use the diagram below to indicate where your tattoo(s) or piercing(s) will be located:
FRONT BACK RIGHT EAR LEFT EAR
SIGNATURE:5 DATE: - -
I hereby affirm under the penalties of purgery that the preceding statements are true/correct to the best of my knowledge.
GUARDIAN CONSENT (ONLY NEEDED FOR MINORS)
GUARDIAN SIGNATURE: DATE: - -
By signing as the above minor’s legal guardian I take full responsibility for any legal issues that may take place in reference to the above
minor. Also by signing I give Marked for Life Tattoo consent to perform the above modification on the listed minor. I understand that I
must be present and sign for any future modifications while the above listed is under the legal age .
I affirm under the penalties of purgery that the foregoing statements are true/correct to the best of my knowledge.
3 Please describe your Tattoo(s) or Piercing(s):
MARKED FOR LIFE TATTOO MODIFICATION INFORMATION
NOTE: The information below is required by the Indiana Health Department. All information will kept confidential.
LAST NAME:1 FIRST NAME:
I!M GETTING A:2 Tattoo Piercing FROM: Mark Isaacs, Owner Other artist:
4 Use the diagram below to indicate where your tattoo(s) or piercing(s) will be located:
FRONT BACK RIGHT EAR LEFT EAR
SIGNATURE:5 DATE: - -
I hereby affirm under the penalties of purgery that the preceding statements are true/correct to the best of my knowledge.
GUARDIAN CONSENT (ONLY NEEDED FOR MINORS)
GUARDIAN SIGNATURE: DATE: - -
By signing as the above minor’s legal guardian I take full responsibility for any legal issues that may take place in reference to the above
minor. Also by signing I give Marked for Life Tattoo consent to perform the above modification on the listed minor. I understand that I
must be present and sign for any future modifications while the above listed is under the legal age .
I affirm under the penalties of purgery that the foregoing statements are true/correct to the best of my knowledge.
3 Please describe your Tattoo(s) or Piercing(s):
Type of “modification”
MARKED FOR LIFE TATTOO MODIFICATION INFORMATION
NOTE: The information below is required by the Indiana Health Department. All information will kept confidential.
LAST NAME:1 FIRST NAME:
I!M GETTING A:2 Tattoo Piercing FROM: Mark Isaacs, Owner Other artist:
4 Use the diagram below to indicate where your tattoo(s) or piercing(s) will be located:
FRONT BACK RIGHT EAR LEFT EAR
SIGNATURE:5 DATE: - -
I hereby affirm under the penalties of purgery that the preceding statements are true/correct to the best of my knowledge.
GUARDIAN CONSENT (ONLY NEEDED FOR MINORS)
GUARDIAN SIGNATURE: DATE: - -
By signing as the above minor’s legal guardian I take full responsibility for any legal issues that may take place in reference to the above
minor. Also by signing I give Marked for Life Tattoo consent to perform the above modification on the listed minor. I understand that I
must be present and sign for any future modifications while the above listed is under the legal age .
I affirm under the penalties of purgery that the foregoing statements are true/correct to the best of my knowledge.
3 Please describe your Tattoo(s) or Piercing(s):
What is it
MARKED FOR LIFE TATTOO MODIFICATION INFORMATION
NOTE: The information below is required by the Indiana Health Department. All information will kept confidential.
LAST NAME:1 FIRST NAME:
I!M GETTING A:2 Tattoo Piercing FROM: Mark Isaacs, Owner Other artist:
4 Use the diagram below to indicate where your tattoo(s) or piercing(s) will be located:
FRONT BACK RIGHT EAR LEFT EAR
SIGNATURE:5 DATE: - -
I hereby affirm under the penalties of purgery that the preceding statements are true/correct to the best of my knowledge.
GUARDIAN CONSENT (ONLY NEEDED FOR MINORS)
GUARDIAN SIGNATURE: DATE: - -
By signing as the above minor’s legal guardian I take full responsibility for any legal issues that may take place in reference to the above
minor. Also by signing I give Marked for Life Tattoo consent to perform the above modification on the listed minor. I understand that I
must be present and sign for any future modifications while the above listed is under the legal age .
I affirm under the penalties of purgery that the foregoing statements are true/correct to the best of my knowledge.
3 Please describe your Tattoo(s) or Piercing(s):
MARKED FOR LIFE TATTOO MODIFICATION INFORMATION
NOTE: The information below is required by the Indiana Health Department. All information will kept confidential.
LAST NAME:1 FIRST NAME:
I!M GETTING A:2 Tattoo Piercing FROM: Mark Isaacs, Owner Other artist:
4 Use the diagram below to indicate where your tattoo(s) or piercing(s) will be located:
FRONT BACK RIGHT EAR LEFT EAR
SIGNATURE:5 DATE: - -
I hereby affirm under the penalties of purgery that the preceding statements are true/correct to the best of my knowledge.
GUARDIAN CONSENT (ONLY NEEDED FOR MINORS)
GUARDIAN SIGNATURE: DATE: - -
By signing as the above minor’s legal guardian I take full responsibility for any legal issues that may take place in reference to the above
minor. Also by signing I give Marked for Life Tattoo consent to perform the above modification on the listed minor. I understand that I
must be present and sign for any future modifications while the above listed is under the legal age .
I affirm under the penalties of purgery that the foregoing statements are true/correct to the best of my knowledge.
3 Please describe your Tattoo(s) or Piercing(s):
Eyes abovethe waist
PLZ.
MARKED FOR LIFE TATTOO MODIFICATION INFORMATION
NOTE: The information below is required by the Indiana Health Department. All information will kept confidential.
LAST NAME:1 FIRST NAME:
I!M GETTING A:2 Tattoo Piercing FROM: Mark Isaacs, Owner Other artist:
4 Use the diagram below to indicate where your tattoo(s) or piercing(s) will be located:
FRONT BACK RIGHT EAR LEFT EAR
SIGNATURE:5 DATE: - -
I hereby affirm under the penalties of purgery that the preceding statements are true/correct to the best of my knowledge.
GUARDIAN CONSENT (ONLY NEEDED FOR MINORS)
GUARDIAN SIGNATURE: DATE: - -
By signing as the above minor’s legal guardian I take full responsibility for any legal issues that may take place in reference to the above
minor. Also by signing I give Marked for Life Tattoo consent to perform the above modification on the listed minor. I understand that I
must be present and sign for any future modifications while the above listed is under the legal age .
I affirm under the penalties of purgery that the foregoing statements are true/correct to the best of my knowledge.
3 Please describe your Tattoo(s) or Piercing(s):
MARKED FOR LIFE TATTOO CUSTOMER INFORMATION
LAST NAME:1 FIRST NAME:
STREET:2 CITY: STATE: ZIPCODE:
DAYTIME PHONE:3 EVENING PHONE:- - - -
IDENTIFICATION: The Indiana Health Department requires a photo identification and a proof of signature:4
Photo ID provided (check one):
Driver’s License
Student ID
State ID
Employee ID
Other photo ID:
Signature ID provided (check one):
Credit/Debit card
Calling card
Wholesale membership card
Hunting/Fishing license
Other:
Please attach your ID’s to this form so they can be photocopied.
SIGNATURE:6 DATE: - -
I hereby affirm under the penalties of purgery that the preceding statements are true/correct to the best of my knowledge.
DATE OF BIRTH:5 / / If you are under 18, a guardian will need to sign for you (below)!
GUARDIAN CONSENT (ONLY NEEDED FOR MINORS)
By signing as the above minor’s legal guardian I take full responsibility for any legal issues that may take place in reference to the above
minor. Also by signing I give Marked for Life Tattoo consent to perform the above modification on the listed minor. I understand that I
must be present and sign for any future modifications while the above listed is under the legal age .
I affirm under the penalties of purgery that the foregoing statements are true/correct to the best of my knowledge.
LAST NAME: FIRST NAME:
STREET: CITY: STATE: ZIPCODE:
DAYTIME PHONE: EVENING PHONE:- - - -
IDENTIFICATION: The Indiana Health Department requires a photo identification and a proof of signature:
Photo ID provided check one):
Driver’s License
Student ID
State ID
Employee ID
Other photo ID:
Signature ID provided check one):
Credit/Debit card
Calling card
Wholesale membership card
Hunting/Fishing license
Other:
Please attach your ID’s to this form so they can be photocopied.
GUARDIAN SIGNATURE: DATE: - -
DATE OF BIRTH: / /
NOTE: The information below is required by the Indiana Health Department. All information will kept confidential.
MARKED FOR LIFE TATTOO MODIFICATION INFORMATION
NOTE: The information below is required by the Indiana Health Department. All information will kept confidential.
LAST NAME:1 FIRST NAME:
I!M GETTING A:2 Tattoo Piercing FROM: Mark Isaacs, Owner Other artist:
4 Use the diagram below to indicate where your tattoo(s) or piercing(s) will be located:
FRONT BACK RIGHT EAR LEFT EAR
SIGNATURE:5 DATE: - -
I hereby affirm under the penalties of purgery that the preceding statements are true/correct to the best of my knowledge.
GUARDIAN CONSENT (ONLY NEEDED FOR MINORS)
GUARDIAN SIGNATURE: DATE: - -
By signing as the above minor’s legal guardian I take full responsibility for any legal issues that may take place in reference to the above
minor. Also by signing I give Marked for Life Tattoo consent to perform the above modification on the listed minor. I understand that I
must be present and sign for any future modifications while the above listed is under the legal age .
I affirm under the penalties of purgery that the foregoing statements are true/correct to the best of my knowledge.
3 Please describe your Tattoo(s) or Piercing(s):
MARKED FOR LIFE TATTOO CUSTOMER INFORMATION
LAST NAME:1 FIRST NAME:
STREET:2 CITY: STATE: ZIPCODE:
DAYTIME PHONE:3 EVENING PHONE:- - - -
IDENTIFICATION: The Indiana Health Department requires a photo identification and a proof of signature:4
Photo ID provided (check one):
Driver’s License
Student ID
State ID
Employee ID
Other photo ID:
Signature ID provided (check one):
Credit/Debit card
Calling card
Wholesale membership card
Hunting/Fishing license
Other:
Please attach your ID’s to this form so they can be photocopied.
SIGNATURE:6 DATE: - -
I hereby affirm under the penalties of purgery that the preceding statements are true/correct to the best of my knowledge.
DATE OF BIRTH:5 / / If you are under 18, a guardian will need to sign for you (below)!
GUARDIAN CONSENT (ONLY NEEDED FOR MINORS)
By signing as the above minor’s legal guardian I take full responsibility for any legal issues that may take place in reference to the above
minor. Also by signing I give Marked for Life Tattoo consent to perform the above modification on the listed minor. I understand that I
must be present and sign for any future modifications while the above listed is under the legal age .
I affirm under the penalties of purgery that the foregoing statements are true/correct to the best of my knowledge.
LAST NAME: FIRST NAME:
STREET: CITY: STATE: ZIPCODE:
DAYTIME PHONE: EVENING PHONE:- - - -
IDENTIFICATION: The Indiana Health Department requires a photo identification and a proof of signature:
Photo ID provided check one):
Driver’s License
Student ID
State ID
Employee ID
Other photo ID:
Signature ID provided check one):
Credit/Debit card
Calling card
Wholesale membership card
Hunting/Fishing license
Other:
Please attach your ID’s to this form so they can be photocopied.
GUARDIAN SIGNATURE: DATE: - -
DATE OF BIRTH: / /
NOTE: The information below is required by the Indiana Health Department. All information will kept confidential.
{NEW CUSTOMER
MARKED FOR LIFE TATTOO MODIFICATION INFORMATION
NOTE: The information below is required by the Indiana Health Department. All information will kept confidential.
LAST NAME:1 FIRST NAME:
I!M GETTING A:2 Tattoo Piercing FROM: Mark Isaacs, Owner Other artist:
4 Use the diagram below to indicate where your tattoo(s) or piercing(s) will be located:
FRONT BACK RIGHT EAR LEFT EAR
SIGNATURE:5 DATE: - -
I hereby affirm under the penalties of purgery that the preceding statements are true/correct to the best of my knowledge.
GUARDIAN CONSENT (ONLY NEEDED FOR MINORS)
GUARDIAN SIGNATURE: DATE: - -
By signing as the above minor’s legal guardian I take full responsibility for any legal issues that may take place in reference to the above
minor. Also by signing I give Marked for Life Tattoo consent to perform the above modification on the listed minor. I understand that I
must be present and sign for any future modifications while the above listed is under the legal age .
I affirm under the penalties of purgery that the foregoing statements are true/correct to the best of my knowledge.
3 Please describe your Tattoo(s) or Piercing(s):
MARKED FOR LIFE TATTOO CUSTOMER INFORMATION
LAST NAME:1 FIRST NAME:
STREET:2 CITY: STATE: ZIPCODE:
DAYTIME PHONE:3 EVENING PHONE:- - - -
IDENTIFICATION: The Indiana Health Department requires a photo identification and a proof of signature:4
Photo ID provided (check one):
Driver’s License
Student ID
State ID
Employee ID
Other photo ID:
Signature ID provided (check one):
Credit/Debit card
Calling card
Wholesale membership card
Hunting/Fishing license
Other:
Please attach your ID’s to this form so they can be photocopied.
SIGNATURE:6 DATE: - -
I hereby affirm under the penalties of purgery that the preceding statements are true/correct to the best of my knowledge.
DATE OF BIRTH:5 / / If you are under 18, a guardian will need to sign for you (below)!
GUARDIAN CONSENT (ONLY NEEDED FOR MINORS)
LAST NAME: FIRST NAME:
STREET: CITY: STATE: ZIPCODE:
DAYTIME PHONE: EVENING PHONE:- - - -
IDENTIFICATION: The Indiana Health Department requires a photo identification and a proof of signature:
Photo ID provided check one):
Driver’s License
Student ID
State ID
Employee ID
Other photo ID:
Signature ID provided check one):
Credit/Debit card
Calling card
Wholesale membership card
Hunting/Fishing license
Other:
Please attach your ID’s to this form so they can be photocopied.
NOTE: The information below is required by the Indiana Health Department. All information will kept confidential.
RETURNING CUSTOMER
SHOPPING FOR A DIGITAL CAMERA
http://picasaweb.google.com/buddah.425/SingaporeHolidayJuly2007/photo#5095105074289463458
STANDARD TEXT RESULTS TAILORED RESULTS ON VIEWZI
http://www.viewzi.com/
http://www.viewzi.com/
STANDARD TEXT RESULTS TAILORED RESULTS ON VIEWZI
http://www.viewzi.com/
STANDARD TEXT RESULTS TAILORED RESULTS ON VIEWZI
SHOPPING FOR A DIGITAL CAMERA
http://picasaweb.google.com/buddah.425/SingaporeHolidayJuly2007/photo#5095105074289463458
Google - see what comes up
see what most people think
in-depth review; camera timeline
photos taken with camera + popularity
pricing (as an indicator of quality)
cameras older than ‘x’ years!
http://amazon.com
http://dpreview.com
http://viewzi.com
http://labs.digg.com
http://songza.com