AMATYC Work Request Form

Date of Request To be completed by Office

DUE DATE Date request received:

Requested by Received by:

E-mail address

Account # Officer ID # Authorized Approval:

(AMATYC Budget Manager)

I request notification that action has been completed ______Yes No

DUPLICATING (Please send materials with form as email attachment or by fax)

Quantity: Staple: Single (upper left) or Double (side stitch) Collate only (sets) or Uncollate (stacks)

Paper Size: ______8 1/2" x 11" 8 1/2" x 14" 17" x 11" ______Custom

TYPE STOCK (select one): Standard White ______Standard Colors 3-Hole Punch ______Letterhead

PRINTING REQUIREMENTS (select one)

1-sided 2-sided Run same as originals Combination (Please explain in special instructions).

SPECIAL INSTRUCTIONS

TYPESETTING AND LAYOUT (All text files, picture, and graphics should be submitted electronically and accompany this form.)

Document Name ______Size/Type Paper ______

General Description of Project ______

______

DISTRIBUTION

Preferred distribution (select one): Requested Delivery Date: ______

First Class Mail Library 3rd Class for parcels ______Email Broadcast

Bulk (at least 250 items) Overnight Priority (2 or 3 days)

To be sent to: Individual (provide name/address, etc): ______

______

(Check all that apply)

_____Mailing list or mailing label (file attached) _____Executive Board _____EDOO _____EDER _____ Conference Coordinator

_____Committee Chairs _____Editors _____Affiliate presidents _____Delegates

_____Entire Membership _____Entire Database (approx 6,000) _____Other (Please Specify)______

AMATYC Publications To Be Included (Include quantity in the blank preceding the publications.)

____Individual Brochure ____ Institutional Brochure _____Summer Institute Brochure _____Traveling Workshop Brochure _____ MAC3

_____Handbook _____Newsletter _____Journal Letterhead _____Crossroads _____Beyond Crossroads

Conference

December Postcard ______April Flyer ______Miniprogram Program

Call for Presenters Advance Conf Information Conference Registration Available post-conference

Position Statements Affiliate Materials (specify quantity):

All of them ______Bags ______Pens

Other (Specify which ones) ______Table display (1 or 2 ea of limited quantity documents:

Review, Opportunities, etc.

Other Items to be included (please be specific.)