Company name: Contact name:

Address: City:

State: Zip: Phone: - Fax: -

Email: Date needed: Jan Feb March April May June July Aug Sept Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1999 2000 2001 2002 2003 2004 2005

Quantity	Flat Size	Finished Size	Name of Project	Number of Colors

Customer will provide:	Copy	Art	Camera ready	Disk	Transparency
	Photo	Negs	Color seperations

Computer program used: ----------- Pagemaker Quark Express PhotoShop Illustrator Freehand Word Other

Proof Type:	Blueline	Color inkjet	Colorkeys	Cromalin
	B&W Laser	no proof needed

Print on: one side two sides

Bindery: Number of folds none 1 2 3 4 5 6 Number of perforations none 1 2 3 4 5 6

Pad -- sheets/pad	Collate	Score	Die cut	Numbering
Saddle stitch -- # of stitches
Drilling -- size of hole	Quantity of holes

Packaging: Shrink wrap -- quantity/package

Ship via: UPS ----- 1 day 2 day 3 day ground Mail Freight

Delivery address if different from billing address:

Address

City: State: Zip:

Weight	Color	Paper Type
-- 50 60 70 80 90 100 110 120 130 140 Other		------------------ coated gloss enamel offset stock bond cover weight Other

Special instructions: