If you select "Other" from a drop down list you must specify the value under Special Instructions. If you have questions, please contact the printshop.
Form Number:	Title:	Date Requested:  5/16/12	Date Required:
Department:	Division:	Contact:	Phone:
Financial Code:	Call When Ready:  YesNo	Deliver:        Yes           No Location:
E-Mail Address:	Number of Copies:	No. of Originals:	Original Size: 8.5 X 11 8.5 X 14 11 X 17 Other Finished Size: 8.5 X 11 8.5 X 14 11 X 17 Other
Binding	Printing	Paper
Collate Staple Upper Left 2 Left Side Center/Book Other Fold Tri Half Other Drill Pad 50 100 Other Trim Thermo Tape	One-Sided Double-Sided Tumbled Combination of above      (Hand delivered sample required)	Stock Provided:Yes No
		8.5 X 11 20# AQUA BLUE BUFF CANARY CHERRY GOLDENROD GRAY GREEN IVORY ORCHID PINK SALMON TAN WHITE MULTIPLE 11 X 17 20# BLUE BUFF CANARY CHERRY GOLDENROD GRAY GREEN IVORY ORCHID PINK SALMON TAN WHITE MULTIPLE 67# 8.5 X 11 CardStock AQUA BLUE CANARY GOLDENROD GRAY GREEN IVORY ORCHID PEACH PEWTER PINK RED SALMON TAN WHITE MULTIPLE (A choice of multiple colors requires hand delivered sample)
Do you wish to attach your file to this request or hand deliver it? Hand Deliver Attached:
Special Instructions/Cost Block Information:

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