Use BLACK INK and fill in all the applicable SHADED AREAS.

This request must have an INDEX & ACCOUNT NUMBER. and an AUTHORIZATION SIGNATURE before it can be completed
http://www.oberlin.edu/purchase/printing/

Job No.
SUBMIT ORIGINAL FORM ONLY * DO NOT SUBMIT VIA FAX, EMAIL OR SCANNED COPIES.
INDEX # Account # Account # Prep Emp Time Emp Time Emp Time
(BILL / CASH) Printing: Postage:
Typesetting/Layout/Paste-up
Due Date Project Title:
(no “ASAP”): Copier
Submitted by: Phone: No. Originals: ■ One-sided ■ Two-sided No. Ups:

Email: Department/Organization: Impressions (Black): (8.5x11) (8.5x14) (11x17)

@oberlin.edu Impressions (Color): (8.5x11) (8.5x14) (11x17)
Pickup or Deliver to: Building Room#
Check all that apply on copiers: Collate ■ Staple ■ Fold ■ Drill holes ■
AUTHORIZATION TO PRINT: I authorize the printing of the material herein requested, and further certify Booklets No. Booklets: No. Staples: No. Booklets Per Minute:
Printing Services Work Request

that I hold authorization to reproduce/print any copyrighted material included in this work request.
Bindery Emp Time Emp Time Emp Time
(must be signed) X_______________________________________________ Date_______________
Collate: ■ Hand ■ Inserter - #pcs__________
FILE name & program submitted: ■ Typesetting
Staple: ■ Hand ■ Machine ■ Saddle
No. Originals (pages): No. Copies Desired: ■ One-sided ■ Two-sided Fold: ■ Hand ■ Machine
Paper: Name Size Weight Paper Color
Bind: ■ GBC ■ Velobind ■ Foamcore Mount
Card Stock/Cover: Name Size Weight Paper Color ■ Drill holes ■ Perforate ■ Cut/Trim ■ Bulk Mail
Materials

■ Laminate ■ Pad ■ Label ■ Tab

Envelopes: Type Size Weight Paper Color
BULK Mail Permit #: Piece. Wt: No. pieces: Rate:
Materials
Ink: ■ Black Ink and/or ■ COLOR(s) Stock: Color: Type/Weight: Size: Qty:
■ Collate Stapling: ■ Top ■ 2 on side ■ Saddle
Bind with:
■ GBC-Plastic Combs ■ Velobind Color: ________________ Where bound: ■ Top ■ Side
Fold: ■ Letter ■ Half ■ Accordion / ‘Z’ __ Fold with print: ■ Outside ■ Inside
Bindery

■ Cut/trim to size:_________________ ■ Lamination size: _______________ ■ Insert ■ Perforate Envelopes: Color: Type/Weight: Size: Qty:

Drill holes: ■ Top ■ Side Number holes: _____________ Size: _______

Lamination: ■ Pouch ■ Roll Size: Qty:
Glue/Pad: ■ Top ■ Side Number of sheets per pad: ________ ■ Mount on foamcore
Binding: ■ GBC ■ Velobind Size: Qty: ■ Mailing Tabs Qty:
Labels: ■ Provided ■ Sticky No. labels: _____________ Data Count Provided: ____________

Mail: ■ 1st Class ■ Standard Non-Profit Bulk (200 US addresses minimum) ■ Campus ■ Distribution:________________ Labels: ■ 1up ■ Sheets Qty: ■ Ink-jetted Qty:

Special instructions: Miscellaneous materials:

Notes: Printing Charges:

Proof: 1st date out: 2nd date out: Postal Charges:

Date job sent: Initials:   Vendor: Vendor Charges:

Sent to: By: ■ Pick-up   Purchase Order/Ref #: Total Charges:

Rev. 12/19