Request for Printing or Duplicating

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Department Site*

Name*

Date*

Phone Number*

Account Name*

Account Number*

Who should we notify for pick up?*Name and Phone Number

Who should this be delivered to?*Name, Location, and Room Number

Special Instructions

Approval Of Request*President, Director, or Dean

Print Method

B/W Copies

Digital Color

Offset Press

Due Date*

Item Description

Quantity Needed/Number of Pages*

Finished Size

Printed Sides

One-sided

Two-sided

Paper Thickness

Bond

Text/Offset

Card Stock

Paper Type

20 lb. Bond

24 lb. Writing

60 lb. Offset

Gloss

NCR

Colored Paper

Folding

Letter Fold

Half Fold

Z Fold

Stapling

Portrait Top Left

Portrait Top Right

Saddle Stitch

Landscape Top Left

Landscape Top Right

Binding

3-Hole Drill

Comb Binding

Coil Binding

Tape Binding

Padding

Glued Pads

NCR Padding

Actual ChargesDescribe the actual charges and amount. Total Material. Total Charges.

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