Badger State Industries PRINT ORDER FORM
BSI PRINT SHOP

Phone: (608) 742-9136

Fax: (608) 742-9118

Email:

Customer Name / Agency: / Order Date: September 26, 2012
Purchase Order #: / P-Card / Buyer ID: / Direct Billing: Yes No
Phone: / Fax:
E-Mail Address: / Month End Billing: Yes No
Bill To Name & Address: / Ship To Name & Address:
Job Description: / Quantity:
Original: Hard Copy E-mail CD / Disk / If job is a Re-Run, list previous order #:
Format: Camera Ready (Product will be produced exactly as sent) Artwork / Layout Editing (Additional charges apply)
Ink: Black only Black & 1 Color Full Color Other: / (Specify Ink Colors):
Number of pages: / Finished Size: 8 ½ x 11 8 ½ x 14 11 x 17 Other:
(Paper Description)
Text Stock:
/ Text Layout:
Single-Sided Double-Sided Head-to-Head Head-to-Foot / Cover Stock:
/ Cover Layout:
Front Back All Inside Front Inside Back
FINISHING
Folding: / Letter Fold / Double-Half Fold / Z Fold / Half Fold / Other
Collate & Staple: Upper Left: / / Left Side Portrait: /
Binding: / Saddle-Stitch / Spiral Bind / Perfect Bind / Comb Bind / Loose-Leaf
Other Services: 3-Hole Drill Oversized 3-Hole Drill Laminating (Forms) Laminating (Business Cards)
Paper Band ( Qty: ) Padding w/ Backer ( Qty: ) Padding without Backer ( Qty: )
Shrink Wrap ( Qty: ) Consecutive Numbering Perforating Other:
NCR Paper: 2 ply 3 ply 4 ply 5 ply
Proof: Hard copy E-mail / PDF / Does finished product contain a bleed?: Yes No
Special Instructions:
Delivery: Spee-Dee Delivery Rush (Additional charges apply)
Total Price: / Delivery Date:
By indicating my name, I confirm that it has been reasonably determined that the printing of this material will not violate copyright laws, and the signing agency will assume full responsibility for this printing request.
Authorizing Name: