Customer Duplicating Request
Requested By
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First Name
Last Name
E-mail Address
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Phone Number
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Area Code
Phone Number
Student Account Number
Use this field if charging to your student account (not SSN).
Submission Date and Time
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Month
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Day
Year
at
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Hour
Minutes
AM
PM
Date and Time Needed (24 hour turn around)
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Month
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Day
at
:
Hour
Minutes
AM
PM
Document Title
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File Upload
File Upload 2
File Upload 3
File Upload 4
File Upload 5
# of Pages in Document
Total Finished Sets
Type of Job
*
Print (attached document)
Copy (original provided)
Impression Type
One Sided
Two Sided
Booklet
Ink options
Full Color
Black and White
Both (Explain in "Additional Instructions")
Paper Stock
*
N/A
Standard Copy (20#)
Card Stock (65#)
Premium Matte Text (32#)
Premium Matte Cover (80#)
Premium Glossy Text (32#)
Premium Glossy Cover (80#)
NCR (2 Part)
NCR (3 Part)
NCR (4 Part)
NCR (5 Part)
100% Cotton
Vellum
Parchment
Other (explain below)
"Other" paper details
Paper Size
8.5 x 11
8.5 x 14
11 x 17
12 x 18
Paper Color
*
N/A
White
Ruby
Hot Pink
Pink
Coral
Salmon
Tangerine
Pumpkin
Gold
Banana
Canary
Lemon (Bright Yellow)
Buff (Light Tan)
Ivory
Tan
Lime
Celery
Green
Emerald
Pacific Blue
Aqua
Blue
Lavender
Orchid
Gray
White Granite
Gray Granite
Ivory Granite
Finish Work
Collate
Staple (Single Top)
Staple (Double Side)
3-hole punch
Glue padding
Cut (explain below)
Fold (explain below)
Laminate
Other finishing details
Book Binding
Coil Bind (spiral)
Comb Bind
Glue Bind (glue strip)
Glue Bind Color
Black
White
Binding Side
11'' side
8.5'' side
Front Cover Options
Card Stock (explain color below)
Vinyl Black
Vinyl Clear
Vinyl Green
Vinyl Maroon
Vinyl Navy
Vinyl Red
Vinyl White
Back Cover Options
Card Stock (explain color below)
Vinyl Black
Vinyl Clear
Vinyl Green
Vinyl Maroon
Vinyl Navy
Vinyl Red
Vinyl White
Back "Card Stock" Details
Any Additional Instructions
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CSA Initials
OFFICE USE ONLY
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