Order and Restoration request sheet
Restoration Service Request Form

Customer Name


Email Address

Day Telephone


Return Address Should be Street Address) for Large items sent via UPS.  PO is fine for smaller items.

Apt. or Suite No.

   Ship Insurance |

Zip Code

Print Info: Type of work you are requesting Size Demounting of backing
Please describe the nature of the your repairs that you are requesting for us to complete for you:
Normally, a deposit is not needed.  Payment in full before returning completed work plus shipping/Insurance costs. We accept payment by personal check or money order and PayPal. Please indicate method of payment below.

Personal Check ____                   Money Order ____                   PayPal ____

All Work is started and completed per our:
Acceptance and Completion of clients Restoration work.  Once you have read this form and agree to proceed, please sign and date with your acceptance and approval.

Signature ______________________________________   Dated _______________

Please send this signed form along with your work to:


Old Print Restorations / Rob Kipp
20 Maverick Street
Marblehead, Massachusetts 01945-2220


 781-631-5035  -  Studio      E-mail Rob Kipp


We suggest that you send your item to us via an insured, traceable means, such as UPS insured or insured mail.  If you have questions, please contact us at the phone number shown above.  Please allow 6 months or more for Conservation and Restoration processing time.  Time required is dependant upon sunlight and how difficult the items are ahead of your order are.     Thank you.    Rob Kipp