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Phone: (530) 752 - COPY or (530) 752 - 0867 Fax: (530) 754 - 0202 reprographics.ucdavis.edu

ID NUMBER COA ACCOUNT NUMBER SUB ACCOUNT SUB OBJECT PROJECT

Work Request Form

Repro Graphics Job Number

DEADLINE

6 0 5 5

(Please provide a sample or dummy with each order) Please print clearly Department Name Title of Project Department Contact Contact Email Camera Ready D# Digital Output CD/DVD provided reproftp Folder name: File name: Program: Version:

No. of Copies Weight

Sample Date Phone # Phone # Fax #

Dummy

Per Schedule Date Required Absolute Deadline

CHAIN OF CUSTODY CERTIFICATION OPTIONS: Please select one

Design Services New Revision

Quality of Work Required

Offset Color Copy Quick Copy

No. of Originals Cover Paper Description Ink Color 1st: PMS

number color

Print: Color

side 1

side 2 1/side 2/sides

For more information on chain of custody certifications, call (530) 752-COPY. RECYCLED LOGO (if applicable):

1/side 2/sides

2nd: PMS

number color

1/side 2/sides

3rd: PMS

number color

Text Paper Description Ink Color 1st: PMS

number color

Weight

Color

1/side 2/sides

2nd: PMS

number color

1/side 2/sides

3rd: PMS

number color

1/side 2/sides

x x x

Finished Size Open Finished Size Open Card Size Kind of Fold

x x x

Finished Size if Folded Finished Size if Folded Envelope Size

SPECIAL INSTRUCTIONS:

3-Letter Fold Half Accordion at Left 3

Double Parallel Signature Score (indicate where) at Left 2 Saddle at Top 2 Other

Other Other

Perforate (indicate where) (Standard 1/4" Hole) at Left Drill 5 Collate Staple Binding Padding Top Left Corner 1 Black Tape Glue Numbering From No. Lamination 5ml at Left Side 2 19-Hole Plastic Padding Edge to No. Other Velo

Plastic Coil

Perfect Bind Total Sets Total Pads Ink Color Black Red 1/8" Sealed Edge

NCR-Zipco Padding Edge

Sheets/Set Sheets/Set (indicate where) Flush Sets/Pad

Large Format Duplication

Number of Originals

Number of Copies

Size of Original

x

Finished size

x

OFFICE USE ONLY

Color

B&W

Received By:

Mail

Counter

Authorized Signature

Print Name

Date

Est.#

Cost $

REPRO GRAPHICS WILL MANUFACTURE YOUR PROJECT ACCORDING TO SPECIFICATIONS PROVIDED

(PLEASE TYPE OR PRINT CLEARLY) NAME: DEPT: BLDG: ROOM:

D4819 (12/08)

CALL/PICKUP COURIER UCDMC MAIL

PHONE:

Click to Submit Electronically

Information

1 pages

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