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Company:
First Name: Last Name:
Business Information
Street Address:
City:
State: Zip:
Phone:
2nd Phone:
Fax:
Email:
Request Information
Job Description:
 (A brief description of the project)
       If known - Complete as much of the following information as possible.
Printing 
Quantity:    
Multi-Versions: Yes No 
If Multi-Versions Please Indicate Quantity Per Version
Piece finished size:  Height Width
If Folded
 Folded final size:		 Height Width
Type of fold: Single Tri Parallel Gate Custom
 
Preferred Stock: 

 Stock color: 


Number of Ink Colors:
Side 1  Side 2
One One
Two Two
Three  Three   
Four  Four
Five Five
Six Six


Other: (Multiple Selections Allowed)


How will the artwork be provided?
Is design Needed: Yes No

Mailing 
Quantity:

Kind of Mailing:
Self Mailer
Postcard
Package 
Height  Height  Height 
Width Width Width
Height, Width and Depth
in inches. Weight in ozs.		 Depth
Weight
Envelope Insertion
Yes
No
Envelope Size:
Height Width
Number of Inserts: 
Is Folding required:
Yes
No
Type of Fold: Single Tri Parallel Gate Custom
Postage: 
Indicia present on piece:
Yes
No
City of indicia:
Postal Class:
  1st Class: Auto Presort Fully Paid
Standard A: Auto Presort
Other: