COLLATE Yes No STAPLE Yes No
FOLD Single Letter *Per Sample
CUT Yes Size PAD Top Side
DRILL 3 Hole 2 Hole Side Top
BOOKLET Yes No
MATERIALS
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setalP gnitnirP
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snoisserpmI sserP
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snoisserpmI roloC
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snoisserpmI reipoC
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snoisserpmI epolevnE
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repaP etihW
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repaP yssolG
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repaP deroloC
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repaP kcotS revoC
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.siM/redrO laicepS
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NCR
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sepolevnE
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gnitanimaL
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gnidniB bmoC
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TOTAL ________________________
* Overhead _______________________
LABOR (in minutes)
FOR PRINTING SERVICES USE ONLY
RESET
SUBMIT
PRINT
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Duplicating Labor _____________________min @_________________________ = TOTAL LABOR ______________
DATE OF REQUEST DATE REQUIRED REQUESTER REQUESTER PHONE #
TITLE OF WORK
CHARGE TO : (ACCOUNT NUMBER)
DELIVER TO:
STATUS OF MATERIALS SECURITY NUMBER OF NUMBER OF
REQUIRED? ORIGINALS COPIES
Copy Ready
COMPOSITION NEEDED
1 Sided or 2
Yes
No
INK COLOR (Color Work Only)
Full Color
*Other *(Specify) __________________
*ADDITIONAL REMARKS
PS Request Form 1 Bookstore Only Rev. July 2013
TOTAL COST ____________________
PRINTING B&W COLOR
1 Side Head to Head
Back to Back Head to Foot
NUMBER OF IMPRESSIONS ______________
PAPER SIZE TYPE COLOR NCR
PRINT SERVICES REQUEST FORM
USE OF PRINT SERVICES:* A minimun of 24 hours is required for any work submitted. For any questions please contact satff 209-384-6265.
A valid account number and proper authorization to utilize the account number is required of all work submitted. When submitting a print request, the department will assume
that proper authorization to utilize our services has been granted. The requester assumes responsibility for any charges due where permission has not been given.
BY SUBMITING THIS FORM YOU AGREE TO THE TERMS OUTLINED BOLOW:
The requestor assumes full liability for any work submitted. Any customer requesting, or using, copyrighted work for purposes in excess of “fair use with proper
permiVVion” is liable for copyright infringement and is subject to civil and criminal penalties. We reserve the right to refuse a print request if, in our judgment, fulllment
would involve any violation of copyright law. In such circumstances, an authorizing ofcial’s permission will be required before proceeding with the print request.
Specify
BOOKSTORE ONLY
P.O. NO. SKU NO.
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