100 Enterprise Place, Suite 4
Dover, DE 19904
SLC: D100
Please complete this form and save it to your computer. After saving the form, please send it as an e-mail attachment to our PPO mailbox: Also attach all print files for order. If files are too large for email, please provide to our office via CD/DVD. If you need assistance for filling out this form, please contact the PPO office at 857-4520.
Requestor Name*: / Phone*:
Agency*: / Fax*:
Accounting Code*:
Example: 10-02-41 / E-mail*:
WORK REQUEST
Document Title*: / New Job Exact Reprint Reprint with Changes
Number. of Pages*: Quantity*: / If Reprint, when was the job printed:
Due Date: / (ex. 01/25/05) / Previous Work Order Number: (Ex: DXXXXX)
Request is for*: / Printing Estimate/Quote Proof Design Variable Data Bulk Mailing
Printing
Quick Copy
Proof / Estimate
(Check all that apply)
CD / DVD Duplicating Meeting to discuss your project and/or cost cutting efficiences
JOB SUBMISSION TYPE*
Do you have an electronic file for this job? Yes No (If yes, please attach it to the wok request email or send CD/DVD to PPO.)
What is the file format of the job? In Design Quark Photoshop Illustrator PDF Word
DELIVERY/INVOICE*
Deliver To: / Invoice To:
Name: / Name:
Division/Section: / Division/Section:
Phone: / Phone:
E-mail: / E-Mail:
Mailing Address: / Mailing Address:
City, State, Zip: / City, State, Zip:
SLC Code: / SLC Code:
Building/Floor: / DDS Number:
* = Required Field/Section. The Printing and Publishing Office will return incomplete requests to the customer.
Original Size*:
Finished Size*:
Sides Imaged*: / 1 Sided / 2 Sided
INK/COLOR*
Number of Colors*: / 1 Spot / 2 Spot
Full Color Process
(Color waiver required)
Colors Used*: / Black
Bleeds*: / Yes / No
PAPER STOCKS*
(Standard = Lightweight paper; Cover = Cardstock paper)
Standard Paper
Color:
Standard Paper / 20/50 lb. / 28/70 lb.
Weight: / 24/60 lb. / 32/80 lb.
Other
Standard Paper / Uncoated Matte Gloss
Finish:
Cover Paper Color:
Cover Paper Weight: / 65 lb. / 80 lb.
100 lb. / 110 lb.
Other
Cover Paper Finish: / Uncoated Matte Gloss
Tabs: / 5 Position / Other
NCR Forms: / Number of Parts
ENVELOPES
Size: / Color:
CD/DVD REPRODUCTION
Label Choice: / Color / B/W
Packaging Choice: / C-Shell Case Paper Sleeve Spindle
DOCUMENT FINISHING*
Slip Sheet / Perforate / Tape Bind
Staple (1) / Laminate / Saddlestitch
Wrap / Coil Bind / Comb Bind
Drill - holes Top Side
Pad - sheets per pad
Number from to
Folding / Folding Type:
ADDITIONAL INSTRUCTIONS/COMMENTS
* = Required Field/Section. The Printing and Publishing Office will return incomplete requests to the customer.