Requested by ___________________________________________________ Phone/Ext ___________________
Name of Document___________________________________________________________________________
Division/Account to be Charged_______________________________________________________
Number of pages submitted ______ Number of copies ____________
Exam?
T Yes T No Material Fee? T Yes T No
Services
T Single-sided
T Back-to-back
T 3-hole punch
T Collate only
T Collate & staple
T Fold: T half T letter
T Cut to size ____ x ____
T Glue into tablets
T Spiral binding
T Laminate
SPECIAL INSTRUCTIONS
ACCOUNT #
(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
T Black & White
T Color
Sheet Size
Paper
T White paper
T Color paper
T White card stock
T Color card stock
T CC Letterhead
T 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
IM
D
PLI
ATING
ERVI
E
W
RK
RDE
IMC
DUPLICATING SERVICES
WORK ORDER
Today’s Date Date Needed
Instructional Materials Center
IMC Job #
(oce use only)
C
OLUMBIA
C OLLEGE
Don’t
Forget