Requested by ___________________________________________________ Phone/Ext ___________________
Name of Document___________________________________________________________________________
Division/Account to be Charged_________________________________________________________________
Number of pages submitted ______ Number of copies ____________
Exam? ❑ Yes ❑ No Material Fee? ❑ Yes ❑ No
Services
❑ Single-sided
❑ Back-to-back
❑ 3-hole punch
❑ Collate only
❑ Collate & staple
❑ Fold: ❑ half ❑ letter
❑ Cut to size ____ x ____
❑ Glue into tablets
❑ Spiral binding
❑ Laminate
SPECIAL INSTRUCTIONS
USER COPIER CODE #
(must be filled in)
Please ensure that all copyrighted materials have been approved for your use.
FOR OFFICE USE ONLY
Date completed ______________________________ Paper Total __________Total Impressions___________
Copies
❑ Black & White
❑ Color
Sheet Size
Paper
❑ White paper
❑ Color paper
❑ White card stock
❑ Color card stock
❑ CC Letterhead
❑ Other stock as arranged
SUBMIT
RESET
IMC DESIGN SERVICES
When design and layout services
are required, call 588-5101 for an
appointment or email
segerstromg@yosemite.cc.ca.us
IMC
DUPLICATING SERVICES
WORK ORDER
IMC
DUPLICATING SERVICES
WORK ORDER
Today’s Date Date Needed
Instructional Materials Center
IMC Job #
(oce use only)
C
O L UMB I A
C O L L E G E
