Cameron University Printing Services

www.cameron.edu/admin/printing/

Reproduction Order Form

581-2459	FAX 581-2577

One Item Per Form Please

No Action will be taken on any requests without a University Account Number and Departmental Authorizing Signature. Under no circumstances will a student's signature be accepted. Advisors must sign Student Organization's Order Form. No exceptions.

Department ___________________________________________________________ Extension # ________________

Contact/Requestor________________________________________ Delivery (Bldg. & Room #) ___________________

Approving Signature __________________________________________________ Account # _________________

(Required)	(Required)

Today's Date _______________________________________	Date Requested ____________________________

(Subject to Production Scheduling. Leave blank if unknown or no certain deadline.)

(Please include sample if possible)

Name of Item _______________________________________________ New [ ] Re-Order [ ]

Printing [ ] Black & White Copies [ ] Color Copies [ ]

Number of Finished Pieces ___________ _______ Front only [ ] Front & Back [ ] Staple [ ] _____

Name & Color of Paper ____________________________________ Finished Size _________________

(If several per page, indicate finished size of one)

Covers: Name & Color of Covers _____________________________ Print Front [ ] Back [ ] _______

(Books only)

Ink Color(s) Black [ ] 2nd color _______________ Add'l Colors ________________________________

Typesetting [ ] Disk Provided [ ] Name of File ______________________ Program ____________

Instructions ___________________________________________________________________________

Printing Services Use: Typesetting Charges ________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Bindery:	Indicate if Bindery Only [ ] (No printing or copies) Qty. __________

Comb Bind [ ] Coil [ ] Fastback [ ] Sure Bind [ ] Other _____________________________

Folding: ½ [ ] Letter Fold [ ] Z-fold [ ] Inserting [ ] Instructions ______________________

Numbering [ ] Starting# ____________ Perf [ ] Score [ ] Punch [ ] # Holes___ Lamination [ ]

Booklet [ ] Printing Services Use: No. of Pages _____ Finished Size ______ # Staples ___ Cover_______

Blank Paper:

White Copier Paper:	Quantity _____ Size: 8 ½ x 11 (letter) [ ] 8 ½ x 14 (legal) [ ] 11 x 17 (ledger) [ ]

Cases [ ] Reams [ ]

Other Stock: Quantity __________ Size ____________ Description ___________________________

Other Stock: Quantity __________ Size ____________ Description ___________________________

Special Instructions:

Received by __________________________________________________ Date ____________________