------------------------- Online Order Form ------------------------- Today's Date: Today's Date Contact Information ------------------------------------------------ Department: If your department is not listed or is incorrect, please select other and complete the text box below. Other: Name of department if not included in list above or if incorrect. Contact Name: Name of person to contact for questions and proofing. Contact Email: Contact Email Address. Phone Number: Please enter contact phone number. Order Information -------------------------------------------------- Delivery Date: Please enter date your order is needed. Select One: Job Description: (Example: Business Cards - Allen Vervisch, Letterhead, Envelopes) Item Status: Information: (Please include information in textbox or email to upgprinting@ecu.edu) One/Two Sided: Is your item single sided or double sided? Quantity: Enter quantity needed. # of Pages: Please enter number of pages. Colors/Ink Front: Please indicate number of colors on front. Colors/Ink Back: Please indicate number of colors on back if applicable. Finished Size: Please select finished size from list, if your item size is not listed please select "other" and enter your size in text box below. Other: Please enter custom size. Paper: Please select paper from list, if your paper selection is not available in the list, please select "other" and enter your paper in text box below. Other: Please enter custom paper. Paper Color: Please select your paper color from list, if your paper color is not available in the list please select other and complete the text box below. Other: Please enter your custom paper color! Mailing Information-------------------------------------------------- Mailing Work:
Please select all that applies.
Bindery Information ------------------------------------------------ Bindery Work:
Please select all that applies.
Pickup or Delivery of completed job --------------------------------- Select One:
Please Select one, if you select delivery, please indicate the room number and building where you would like the completed job delivered to.
Room/Building: Please enter room number and building for delivery. Billing Information -------------------------------------------------- Payment Type:
If you are paying with cash/check or this is a direct bill, please enter the appropriate number of 0's in account information below.
Select One: Fund: 6-Digit FUND number (xxxxxx-000000-00000-0000-000000) Organization: 6-Digit ORG number (000000-xxxxxx-00000-0000-000000) Account: 5-Digit ACCOUNT number (000000-000000-xxxxx-0000-000000) Program: 4-Digit PROGRAM (000000-000000-00000-xxxx-000000 Activity : ACTIVITY (000000-000000-00000-0000-xxxxxx) Approval :
You will receive a proof prior to printing if applicable. Your account will not be charged until the job is complete.
Instructions: Please indicate your special instructions here. (e.g.. File name, uploaded file to server, request for pickup of samples, CD's, etc)
