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Digital Publishing & Printing Services

PRINTING REQUEST FORM

Notice: Use the tab key to switch between entry fields.

Contact Information
Ordered By:
Department:
Address:
Address 2:
City:	ST: ZIP:
E-mail:
Phone:
Fax:

Proofing Contact
Name:
Department:
Address:
Address 2:
E-mail:
Phone:
Fax:

Billing Information
UWEX Customer Number:
Requisition Number:
Purchase Order:
UDDS Code:		FUND	ACCT	UNIT	DIV	DEPT	ACT

Print Order Details
Delivery Date:	Month / Day / Year / /
Order Description:	None
Previous Job Number:	(Ex. F70000)
Negatives:	Select if suppling negatives Keep on file for future printing. Recycle negatives after printing. Return negatives to client.
Docutech Service Level:	Select if Xerox Express Normal Deferred
Finshed Paper Size:	Select Finished Paper Size 8.5 x 11 8.5 x 14 11 x 17 Other - Fill in blank below
Other Size:
Number of Originals:
Quantity to be printed:
Furnished As:	Electronic Files Camera-ready hard copy
File Location:	Select if sending Electronic Files DP&PS FTP Server Compact Disc Floppy-Disc Zip-Disc
Folder Name:
File Format:	Select if sending Electronic Files Macintosh PC
Creation Program:	Select File if sending Electronic Files Adobe PDF Adobe Illustrator Adobe Indesign Adobe Pagemaker Adobe Photoshop Adobe Postscript Microsoft Word Microsoft Publisher QuarkXpress other - Fill in below
Other Program:

Cover Options
Select Cover Ink:	Select One Black Black + PMS Color(s) PMS Color(s) Full Color
If PMS:	PMS COLOR 1 PMS COLOR 2 PMS COLOR 3
Other:
Select Cover Paper:	All colors are based on DP&PS Paper Samples booklet
Cover Section 1 white:	Section 1 - White Bond - Recycled 8 1/2 x 11 20 # 8 1/2 x 11 20 # 3-hole punched 8 1/2 x 11 24 # 8 1/2 x 11 24 # Rag Content 8 1/2 x 14 24 # 11 x 17 20# 11 x 17 24#
Cover Section 1:	Section 1 - Colored Bond - Recycled 8 1/2 x 11 20# - Blue 8 1/2 x 11 20# - Buff 8 1/2 x 11 20# - Canary 8 1/2 x 11 20# - Cherry 8 1/2 x 11 20# - Cream 8 1/2 x 11 20# - Goldenrod 8 1/2 x 11 20# - Gray 8 1/2 x 11 20# - Green 8 1/2 x 11 20# - Orchid 8 1/2 x 11 20# - Pink 8 1/2 x 11 20# - Salmon 8 1/2 x 11 20# - Tan 8 1/2 x 11 20# - Ivory 11 x 17 20# - Blue 11 x 17 20# - Buff 11 x 17 20# - Canary 11 x 17 20# - Cream 11 x 17 20# - Goldenrod 11 x 17 20# - Gray 11 x 17 20# - Green 11 x 17 20# - Pink 11 x 17 20# - Salmon 11 x 17 20# - Ivory
Cover Section 2:	Section 2 - Astrobright Papers 8 1/2 x 11 60# - Gamma Green 8 1/2 x 11 60# - Lunar Blue 8 1/2 x 11 60# - Mars Magenta 8 1/2 x 11 60# - Neptune Blue 8 1/2 x 11 60# - Planetary Purple 8 1/2 x 11 60# - Re-entry Red 8 1/2 x 11 60# - Terra Green 8 1/2 x 11 60# - Solar Yellow 8 1/2 x 11 60# - Pulsar Pink 8 1/2 x 11 65# - Planetary Purple 8 1/2 x 11 65# - Gamma Green 8 1/2 x 11 65# - Galaxy Gold 8 1/2 x 11 65# - Lunar Blue 8 1/2 x 11 65# - Mars Magenta 8 1/2 x 11 65# - Orbit Orange 8 1/2 x 11 65# - Re-entry Red 8 1/2 x 11 65# - Solar Yellow
Cover Section 3:	Section 3 - Offset Papers 8 1/2 x 11 - 60# - White - Husky Offset 8 1/2 x 11 - 70# - Canary 8 1/2 x 11 - 70# - Ivory 8 1/2 x 11 - 70# - Blue 8 1/2 x 11 - 70# - Cream 8 1/2 x 11 - 70# - Gray 8 1/2 x 11 - 70# - Peach 8 1/2 x 11 - 70# - Satin White 8 1/2 x 11 - 70# - Green 8 1/2 x 11 - 70# - Natural 8 1/2 x 11 - 70# - Tan 8 1/2 x 11 - 80# - Pearl White-Torchglow Opaque 8 1/2 x 11 - 80# - Cream - Enamel Dull Lustro 8 1/2 x 11 - 80# - White - Mountie Matte 8 1/2 x 11 - 80# - Gloss - Productolith 11 x 17 - 60# - White 11 x 17 - 70# - Canary 11 x 17 - 70# - Ivory 11 x 17 - 70# - Blue 11 x 17 - 70# - Gray 11 x 17 - 70# - Peach 11 x 17 - 70# - Satin White 11 x 17 - 70# - Green 11 x 17 - 70# - Natural 11 x 17 - 70# - Tan 11 x 17 - 80# - Pearl White - Torchglow Opaque 11 x 17 - 80# - Cream - Enamel Dull Lustro 11 x 17 - 80# - White - Mountie Matte 11 x 17 - 80# - Gloss - Productolith
Cover Section 4:	Section 4 - Cover Stocks Any Size 65# - White - Frostbrite Cover Matte Any Size 65# - Natural - Classic Crest Any Size 80# - White - Cougar Opaque Any Size 10Pt - White - Kromekote 8 1/2 x 11 65# - White - Torchglow Cover 8 1/2 x 11 65# - Blue - Cover 8 1/2 x 11 65# - Canary - Cover 8 1/2 x 11 65# - Natural - Cover 8 1/2 x 11 65# - Gray - Cover 8 1/2 x 11 65# - Green - Cover 8 1/2 x 11 65# - Ivory - Cover 8 1/2 x 11 65# - Tan - Cover 11 x 17 65# - White - Torchglow Cover 11 x 17 65# - Blue - Cover 11 x 17 65# - Canary - Cover 11 x 17 65# - Natural - Cover 11 x 17 65# - Gray - Cover 11 x 17 65# - Green - Cover 11 x 17 65# - Ivory - Cover 11 x 17 65# - Tan - Cover
Cover Section 5:	Section 5 - Royal Fiber Papers - Recycled 8 1/2 x 11 24# Royal Fiber Writing - Cream 8 1/2 x 11 24# Royal Fiber Writing - Gray 8 1/2 x 11 24# Royal Fiber Writing - Rose 8 1/2 x 11 24# Royal Fiber Writing - Sky Blue 8 1/2 x 11 24# Royal Fiber Writing - White 8 1/2 x 11 70# Royal FiberText - Cream 8 1/2 x 11 70# Royal FiberText - Pepper 8 1/2 x 11 70# Royal FiberText - Rose 8 1/2 x 11 70# Royal FiberText - Perwinkle 8 1/2 x 11 70# Royal FiberText - White 8 1/2 x 11 70# Royal FiberText - Gray 8 1/2 x 11 70# Royal FiberText - Sky Blue 8 1/2 x 11 80# Royal Fiber COVER - Cream 8 1/2 x 11 80# Royal Fiber COVER - Pepper 8 1/2 x 11 80# Royal Fiber COVER - Periwinkle 8 1/2 x 11 80# Royal Fiber COVER - White 8 1/2 x 11 80# Royal Fiber COVER - Rose 8 1/2 x 11 80# Royal Fiber COVER - Gray 8 1/2 x 11 80# Royal Fiber COVER -Cottonwood 11 x 17 70# Royal FiberText - Cream 11 x 17 70# Royal FiberText - Rose 11 x 17 70# Royal FiberText - White 11 x 17 70# Royal FiberText - Gray 11 x 17 70# Royal FiberText - Sky Blue 11 x 17 80# Royal Fiber COVER - White 11 x 17 80# Royal Fiber COVER - White 11 x 17 80# Royal Fiber COVER - Gray
Cover Section 6:	Section 6 - Linen Papers 8 1/2 x 11 24# - Bright White - Linen Writing 8 1/2 x 11 24# - Natural White - Linen Writing 8 1/2 x 11 80# - Bright White - Linen Text 8 1/2 x 11 80# - Natural White - Linen Text 8 1/2 x 11 80# - Brilliant White - Linen Cover 8 1/2 x 11 80# - Natural White - Linen Cover 11 x 17 80# - Bright White - Linen Text
Cover Section 7:	Section 7 - Index Papers 110# Blue - Index 110# Buff - Index 110# Cherry - Index 110# Green - Index 110# Salmon - Index 110# Canary - Index 110# White - Index
Cover Section 8:	Section 8 - Miscellaneous 8 1/ 2 x 11 24# - White - 25% Cotton Ragbond 8 1/2 x 11 24# - White - Laser Plus 8 1/ 2 x 11 60# - Ancient Gold - Parchment 8 1/ 2 x 11 60# - Natural - Parchment 8 1/ 2 x 11 24# - Bright White-Classic Crest Writing 8 1/ 2 x 11 24# - Natural - Classic Crest Writing 8 1/ 2 x 11 28# - Celebration - Writing Text 11 x 17 24# - White - 25% Cotton Ragbond 11 x 17 24# - White - Laser Plus

Document Color / Paper Options
Select Paper Ink:	Select One Black Black + PMS Color(s) PMS Color(s) Full Color
If PMS Enter PMS Colors:	PMS Color 1 PMS Color 2 PMS Color 3
	All colors are based on DP&PS Paper Samples booklet (Request Book)
Other:
Select Paper:
Section 1 White:	Section 1 - White Bond - Recycled 8 1/2 x 11 20 # 8 1/2 x 11 20 # 3-hole punched 8 1/2 x 11 24 # 8 1/2 x 11 24 # Rag Content 8 1/2 x 14 24 # 11 x 17 20# 11 x 17 24#
Section 1:	Section 1 - Colored Bond - Recycled 8 1/2 x 11 20# - Blue 8 1/2 x 11 20# - Buff 8 1/2 x 11 20# - Canary 8 1/2 x 11 20# - Cherry 8 1/2 x 11 20# - Cream 8 1/2 x 11 20# - Goldenrod 8 1/2 x 11 20# - Gray 8 1/2 x 11 20# - Green 8 1/2 x 11 20# - Orchid 8 1/2 x 11 20# - Pink 8 1/2 x 11 20# - Salmon 8 1/2 x 11 20# - Tan 8 1/2 x 11 20# - Ivory 11 x 17 20# - Blue 11 x 17 20# - Buff 11 x 17 20# - Canary 11 x 17 20# - Cream 11 x 17 20# - Goldenrod 11 x 17 20# - Gray 11 x 17 20# - Green 11 x 17 20# - Pink 11 x 17 20# - Salmon 11 x 17 20# - Ivory
Section 2:	Section 2 - Astrobright Papers 8 1/2 x 11 60# - Gamma Green 8 1/2 x 11 60# - Lunar Blue 8 1/2 x 11 60# - Mars Magenta 8 1/2 x 11 60# - Neptune Blue 8 1/2 x 11 60# - Planetary Purple 8 1/2 x 11 60# - Re-entry Red 8 1/2 x 11 60# - Terra Green 8 1/2 x 11 60# - Solar Yellow 8 1/2 x 11 60# - Pulsar Pink 8 1/2 x 11 65# - Planetary Purple 8 1/2 x 11 65# - Gamma Green 8 1/2 x 11 65# - Galaxy Gold 8 1/2 x 11 65# - Lunar Blue 8 1/2 x 11 65# - Mars Magenta 8 1/2 x 11 65# - Orbit Orange 8 1/2 x 11 65# - Re-entry Red 8 1/2 x 11 65# - Solar Yellow
Section 3:	Section 3 - Offset Papers 8 1/2 x 11 - 60# - White - Husky Offset 8 1/2 x 11 - 70# - Canary 8 1/2 x 11 - 70# - Ivory 8 1/2 x 11 - 70# - Blue 8 1/2 x 11 - 70# - Cream 8 1/2 x 11 - 70# - Gray 8 1/2 x 11 - 70# - Peach 8 1/2 x 11 - 70# - Satin White 8 1/2 x 11 - 70# - Green 8 1/2 x 11 - 70# - Natural 8 1/2 x 11 - 70# - Tan 8 1/2 x 11 - 80# - Pearl White - Torchglow Opaque 8 1/2 x 11 - 80# - Cream - Enamel Dull Lustro 8 1/2 x 11 - 80# - White - Mountie Matte 8 1/2 x 11 - 80# - Gloss - Productolith 11 x 17 - 60# - White 11 x 17 - 70# - Canary 11 x 17 - 70# - Ivory 11 x 17 - 70# - Blue 11 x 17 - 70# - Gray 11 x 17 - 70# - Peach 11 x 17 - 70# - Satin White 11 x 17 - 70# - Green 11 x 17 - 70# - Natural 11 x 17 - 70# - Tan 11 x 17 - 80# - Pearl White - Torchglow Opaque 11 x 17 - 80# - Cream - Enamel Dull Lustro 11 x 17 - 80# - White - Mountie Matte 11 x 17 - 80# - Gloss - Productolith
Section 4:	Section 4 - Cover Stocks Any Size 65# - White - Frostbrite Cover Matte Any Size 65# - Natural - Classic Crest Any Size 80# - White - Cougar Opaque Any Size 10Pt - White - Kromekote 8 1/2 x 11 65# - White - Torchglow Cover 8 1/2 x 11 65# - Blue - Cover 8 1/2 x 11 65# - Canary - Cover 8 1/2 x 11 65# - Natural - Cover 8 1/2 x 11 65# - Gray - Cover 8 1/2 x 11 65# - Green - Cover 8 1/2 x 11 65# - Ivory - Cover 8 1/2 x 11 65# - Tan - Cover 11 x 17 65# - White - Torchglow Cover 11 x 17 65# - Blue - Cover 11 x 17 65# - Canary - Cover 11 x 17 65# - Natural - Cover 11 x 17 65# - Gray - Cover 11 x 17 65# - Green - Cover 11 x 17 65# - Ivory - Cover 11 x 17 65# - Tan - Cover
Section 5:	Section 5 - Royal Fiber Papers - Recycled 8 1/2 x 11 24# Royal Fiber Writing - Cream 8 1/2 x 11 24# Royal Fiber Writing - Gray 8 1/2 x 11 24# Royal Fiber Writing - Rose 8 1/2 x 11 24# Royal Fiber Writing - Sky Blue 8 1/2 x 11 24# Royal Fiber Writing - White 8 1/2 x 11 70# Royal FiberText - Cream 8 1/2 x 11 70# Royal FiberText - Pepper 8 1/2 x 11 70# Royal FiberText - Rose 8 1/2 x 11 70# Royal FiberText - Perwinkle 8 1/2 x 11 70# Royal FiberText - White 8 1/2 x 11 70# Royal FiberText - Gray 8 1/2 x 11 70# Royal FiberText - Sky Blue 8 1/2 x 11 80# Royal Fiber COVER - Cream 8 1/2 x 11 80# Royal Fiber COVER - Pepper 8 1/2 x 11 80# Royal Fiber COVER - Periwinkle 8 1/2 x 11 80# Royal Fiber COVER - White 8 1/2 x 11 80# Royal Fiber COVER - Rose 8 1/2 x 11 80# Royal Fiber COVER - Gray 8 1/2 x 11 80# Royal Fiber COVER -Cottonwood 11 x 17 70# Royal FiberText - Cream 11 x 17 70# Royal FiberText - Rose 11 x 17 70# Royal FiberText - White 11 x 17 70# Royal FiberText - Gray 11 x 17 70# Royal FiberText - Sky Blue 11 x 17 80# Royal Fiber COVER - White 11 x 17 80# Royal Fiber COVER - White 11 x 17 80# Royal Fiber COVER - Gray
Section 6:	Section 6 - Linen Papers 8 1/2 x 11 24# - Bright White - Linen Writing 8 1/2 x 11 24# - Natural White - Linen Writing 8 1/2 x 11 80# - Bright White - Linen Text 8 1/2 x 11 80# - Natural White - Linen Text 8 1/2 x 11 80# - Brilliant White - Linen Cover 8 1/2 x 11 80# - Natural White - Linen Cover 11 x 17 80# - Bright White - Linen Text
Section 7:	Section 7 - Index Papers 110# Blue - Index 110# Buff - Index 110# Cherry - Index 110# Green - Index 110# Salmon - Index 110# Canary - Index 110# White - Index
Section 8:	Section 8 - Miscellaneous 8 1/ 2 x 11 24# - White - 25% Cotton Ragbond 8 1/2 x 11 24# - White - Laser Plus 8 1/ 2 x 11 60# - Ancient Gold - Parchment 8 1/ 2 x 11 60# - Natural - Parchment 8 1/ 2 x 11 24# - Bright White - Classic Crest Writing 8 1/ 2 x 11 24# - Natural - Classic Crest Writing 8 1/ 2 x 11 28# - Celebration - Writing Text 11 x 17 24# - White - 25% Cotton Ragbond 11 x 17 24# - White - Laser Plus

Finishing Options
Options:	Description:	Options:
	Plastic Comb bind:	Select Comb Bind Color No Selection Black Red Request Additional Option
		Optional Color
	Tape bind:	Tape Bind Color No Selection Black Red Request Additional Option
		Optional Color
	Spiral bind:	Standard Color is Black. Additional Colors take 2 weeks. Call for availability.
		Color Request:
	Perfect bind:
	Staple:	Selection Staple Options No Selection One in upper left corner Left Side, twice Saddle stitch, booklet Closed Once
	Pad:	Select the number of pages per pad
	Fan Apart:	Note: This is a carbonless paper option.
	Drill:	Select Drill Options No Selection Standard 3-hole 1-hole - Provide Sample 2-hole - Provide Sample 3-hole - Provide Sample
	Score:
	Perforate:
	Cut:	Enter the Width Height dimensions
	Acetate:	Select Acetate Options No Selection Front Back Front / Back
	Add Page Numbers:	Start on page with number .
	Shrink wrap:	Quantity per package
	Folds:	Fold in half	Parallel	Z Fold	Double Parallel	Gate

Delivery Information
Delivery Location	Physical Address	Quantity
Pickup at DP&PS :	DP&PS, 30 N. Murray	DP&PS:
Pickup at MSC:	B203 MSC, 1300 University Ave	MSC:
Deliver to Bulk Mail:	Bulk Mail, 45 N. Charter St.	Bulk Mail:
Deliver to Location 1:	Enter in Location 1 Address	Location 1:
Deliver to Location 2:	Enter in Location 2 Address	Location 2:
Special Instructions:	None NOTICE: DP&PS delivers to the loading dock. We do not deliver to rooms.

Order Submittal
	Clickon the Submit button when the form is completed.You will receive a confirmation page that you can print out. Customer Support is available if you have any questions.
	Click here to reset all options and start over.
NOTICE: Any claim for incomplete or defective product must be made within 10 working days.