PRINT SHOP
REQUEST FORM
PRINT SHOP USE ONLY
JOB NUMBER ___________
DATE RECEIVED_________
DATE COMPLETED______
DATE SUBMITTED
___________________
DATE REQUIRED
(Minimum of 10 Business Days
Lead Time Required)
_____________________
NAME OF REQUESTER: ________________________________________
DEPARTMENT & CAMPUS: ______________________________________
PHONE # OF REQUESTER: ______________________________________
E-MAIL OF REQUESTER: ________________________________________
TITLE/ DESCRIPTION OF MATERIAL TO BE REPRODUCED:
OTHER SPECIAL INSTRUCTIONS AND DELIVERY INFORMATION
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
APPROVALS:
__X__________________________________________
Signature of Requesting Department Head Date
__X__________________________________________
Signature of College Director of Publications Date
__X__________________________________________
Signature of (Assoc.) Admin Dir. Of Bus. Operations Date
PAPER COLOR
_____________________________________
PAPER TYPE (Glossy, Matte, etc.)
_____________________________________
PAPER SIZE (8.5x11, 8.5x14, 11x17)
_____________________________________
( ) 2 PART CARBONLESS
( ) 3 PART CARBONLESS
( ) COLLATE
( ) CUT
( ) FOLD
( ) PAD
( ) THREE HOLE PUNCH
( ) STAPLE 1 LEFT
( ) STAPLE 2 LEFT
( ) BOOKLET
( ) ADDRESS
( ) BUSINESS CARDS
( ) POSTCARDS
( ) PWRPT SLIDES ______/pg
( ) PWRPT NOTESVIEW
PERSON TO RECEIVE MATERIAL CAMPUS BUILDING ROOM
i) Total # of Orig. Pgs __________
(count front & back for 2 sided original)
ia) For slides or postcards only:
# of slides/cards per page _______
Originals are 2 sided? ( ) Yes ( ) No
ii) # of Copies Needed _________
iii) Copies: ( ) 1 SIDED ( ) 2 SIDED
iv) Total Printed Pgs (i x ii) ________
(For total printed slides/postcards: (ii / ia) x iii
The Requesting Department confirms that material being submitted for repro-
duction under this Print Request is error free, has up-to-date information, and
has been reviewed and approved by the College Director of Publications as ap-
propriate. Following completion of the job, if the Requesting Department identi-
fies errors on the original material necessitating a reprint, the printing costs
associated with the reprint request will be billed to the requesting Department.
Rev. 1 / 20 PM
3. The Print Request Form must have necessary approval / signatures to avoid
2.
request. Print Requests must be emailed to Printshop@sunysuffolk.edu
1. The Print shop requires 10 business days to complete / Fulfill a print