Duplicating Request
R-115, 619-388-3444
Please fill this form out completely. Check all that apply.
All jobs will be done back to back, unless stated otherwise under Special Instructions.
N
ame: _________________________________________ Email/Phone No.: _____________________________
Date Submitted: ________________________________ Due Date: ___________________________________
Name of Document: ________________________________________________________________________________
Department: __________________________________ Class Location: City
ECC Ext. Stu.
Subject / Course: ________________________________ Class Time: __________________________________
Budget Number: ___________________________________________________________________________________
Number of Originals
*: ______________________________ Number of Copies: ___________________________
More than 10 originals requires Department Chair Approval. Exempt: Exams / Quizzes / Tests.
Title 17 of the U.S. code governs the copying of materials protected under copyright law. The undersigned requesting
duplication services is responsible for compliance with all copyright laws and is liable for any infringement.
P
hotocopy: 24-hour minimum for completion
Black / White prints
Color prints *
(Color prints require department chair approval and
may require more than 2 days for completion)
P
aper
Color/Type : _______________________________
Other: ____________________________________
3-Hole
Carbonless forms * (NCR®)
(May require more than 3 days to complete.)
2 part 3 part 4 part
O
versized Printing
*
11”x17”
13”x19”
24”x36”
Other Size: _______________________________
Poster Board *
Finishing and Binding
Collate
Staple
Fold size: __________________________________
Cut size: ____________ total cut copies _________
Pad size: ____________ sheets per pad _________
Kombind *
Spiral Bind *
W
ord Processing
Want to Proof
Run after Corrections
Proofed: Print job
S
can to PDF
Email: ___________________________________
Your original work or publisher permission only.
No copyright materials.
Special Instructions: *Requires Department Chair Approval
(Instructional subjects only. Failure to
secure approval signatures, may
increase completion time.)
More than 10 originals
Color Prints
Oversized Prints
Poster Board
Binding: Kombind or Spiral
Office Use Only
Sept.2017
CLEAR
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