Delivery Location - Bulding Address: When Needed:

Organization / Department Name: Email:

Charging Instructions: DKP SNP OK2PAY Credit Card Cash

Page Count: Quantity: Job 1 Name:

Page Count: Quantity: Job 2 Name:

Page Count: Quantity: Job 3 Name:

Page Count: Quantity: Job 4 Name:

Page Count: Quantity: Job 5 Name:

Special Instructions:

Paper: 20lb Bond 3 Hole 24lb Bond Cardstock Finishing: No Finishing Staple Plastic Spiral Bind Velo Bind Wire O Tape Rubber Band Staple Bind (2 on Left) Staple Bind (3 on Left) Fasteners Saddle Stitch Two Sided Color Copies

Paper Size: 8.5 x 11 8.5 x 14 11 x 17 Other Cover Stock Color: None Blue Yellow White Green Gray Pink Yale Blue Peach Cream Orchild Gold Typesetting _______________________

SHIPPING: UPS (# Packages) ___________ Charge ___________
U.S. Mail: # Pieces ___________ @ ___________ = ___________
U.S. Mail: # Pieces ___________ @ ___________ = ___________
Other Mailing labor _________________________ Time ________

Sub Total ________________
Tax ________________
TOTAL ________________
TOTAL SHIPCHARGES ___________ Delivery Receipt (Print Name) __________________________