Job No:
Photocopy Request Form
Part One: To be completed by Requestor. (Please print all details)
Date:
Name:
Department/Ward/Unit:
Extension:
Entity: Cost Centre:
A/C: 35631 Sub A/C: 000 Campus:
Date Required: (ASAP will not be treated as urgent)
Requested by:
Print name:______
Signature:______
Authorised By: (Primary Cost Centre Manager)
Print name:______
Signature:______
/ Part Two: Office use only
A4 White Paper at $0.06 =
A4 White Paper Double Sided at $0.10 =
A3 White Paper at $0.09 =
A4 Coloured Paper at $0.09 =
A4 Coloured Paper Double Sided at $0.13 =
A3 Coloured Paper at $0.12 =
White Card at $0.11 =
Coloured Card at $0.17 =
Copying only at $0.04 =
Folding at $0.02 / Enveloping at $0.05 =
Binding at $3.00 =
Stapling single at $0.04 / Booklet at $0.08 =
Laminating A5 $1 /A4 $2 / A3 $4 / A2 $6 / Per Metre $10 =
Padding at $1.00 =
Job A:
No. of Pages: / No. of Copies: / Total Images:
Paper Colour: / Paper Type: Copy Paper: □ Card: □ Own Paper: □ A4: □ A3 □
Copy Format: A4 / A4 A4 / A5 A4 A3 A3 / A3 A3 / A4 A5 / A5 Single Sided: □ Double Sided: □
Other Services Required: Folding: □ Enveloping: □ Binding: □ Stapling single: □ Stapling double: □ Laminating: □ Padding: □
Special Instructions:
Job B:
No. of Pages: / No. of Copies: / Total Images:
Paper Colour: / Paper Type: Copy Paper: □ Card: □ Own Paper: □ A4: □ A3 □
Copy Format: A4 / A4 A4 / A5 A4 A3 A3 / A3 A3 / A4 A5 / A5 Single Sided: : □ Double Sided: : □
Other Services Required: Folding: □ Enveloping: □ Binding: □ Stapling single: □ Stapling double: □ Laminating: □ Padding: □
Special Instructions:
Part Three: (Office use only) Total Cost: