MCC #10 Envelope Order Form
Please complete this order form, including the requisition number, and forward to Finance Office, MS #10.
If a reorder of an existing envelope, attach a sample to this form. New or revised orders will have a proof emailed to the requisition
signer's office for final approval. Envelopes will be delivered by the vendor to the requisition signer's location.
Please fill out the information below. One envelope style per form. Photocopy as needed.
Name: ___________________________________________________________ Date of Request: ___________________________
Division/Department: ________________________________________________________________________________________________
Requisition #: _________________________________________ Delivery Location: _____________________________________________
Contract Award: 14PSX0240 (12/01/2014-11/30/2015) Approved Vendor: John Gross
Delivery: 2 weeks (after receipt of purchase order)
Style #1
#10 Official Envelope with Rounded Flap
Quantity: 1M for a cost of $60.84/M
Quantity: 5M for a cost of $171.25
Quantity: 10M for a cost of $293.80
Style #2
#10 Outlook Poly Window Envelope with Rounded Flap
Quantity: 1M for a cost of $61.18/M
Quantity: 5M for a cost of $186.20
Quantity: 10M for a cost of $322.30
Indicia: (optional, depending on how the letters are mailed; please check one):
No Indicia
First Class (must be mailed in
Presorted First Class
Bulk Mail/Nonprofit
batches of at least 200) (must be mailed via a mail house) (must be mailed via a mail house)
ADDITIONAL COSTS:
FIRST-TIME OR REVISED ORDERS will be charged a $30.00 flat charge.
Return Address: (please complete; attach a sample envelope with return address):
Division OR Department ___________________________________________________
Mail Station # _____________
PO # from Purchasing ____________________________________ Example of return address setup if
vendor requests PDF artwork.
________________ 9 1/2 inches ________________
________________ 9 1/2 inches ________________
______ 4 1/8 inches _____
Divsion or
Department Name
Great Path, MS ??
P.O. Box 1046
Manchester, CT
06045-1046
MANCHESTER
COMMUNITY
COLLEGE
Divsion or
Department Name
Great Path, MS ??
P.O. Box 1046
Manchester, CT
06045-1046
MANCHESTER
COMMUNITY
COLLEGE
Divsion or
Department Name
Great Path, MS ??
P.O. Box 1046
Manchester, CT
06045-1046
MANCHESTER
COMMUNITY
COLLEGE
FIRST-CLASS MAIL
U.S. POSTAGE PAID
HARTFORD, CT
PERMIT NO 5100
NONPROFIT ORG
U.S. POSTAGE PAID
HARTFORD, CT
PERMIT NO 5100
PRESORTED
FIRST-CLASS MAIL
U.S. POSTAGE PAID
HARTFORD, CT
PERMIT NO 5100
______ 4 1/8 inches _____
FIRST-CLASS MAIL
US POSTAGE PAID
HARTFORD CT
PERMIT NO 5100
FIRST-CLASS MAIL
US POSTAGE PAID
HARTFORD CT
PERMIT NO 5100
