Company Name:

Contact Name:

Contact Email:

Contact Phone:

Project Description:

Sales Executive: Please select one I am a new client! Larry Baker Donna Dombroski Wanda Kanagy Scott Moore Kevin Netherton Brad Noe Dan Paulson Brent Pflederer Jeff Ruffner Bill Williams Mary Wolf

Project Available Date:

Project Due Date:

File Type: Select One Quark Express Pagemaker InDesign

Platform: Mac  PC

Quantity:

Flat Size:

Folded Size:

Number of Pages:     + Cover  Self Cover 
(If your project is a flyer or a single sheet
of paper, leave this field blank.)

Number of Sides:

Stock Weight: Select One 50 lb. uncoated text 60 lb. text 70 lb. text 80 lb. text 100 lb. text

Stock Finish: Select One Gloss coated 2-side Gloss coated 1-side Satin / Dull Uncoated

Stock Weight: Select One 65 lb. cover 80 lb. cover 100 lb. cover 10 pt. cover 12 pt. cover

Stock Finish: Select One Gloss coated 2-side Gloss coated 1-side Satin / Dull Uncoated

Additional stock or specialty stock requested:

Inks: Select One Black only Black + 1 Pantone Color 2 Pantone Colors 4-color Process Other (specify in Comments)
(If Other, please specify in Comments section below.)

Varnish: Select One Gloss, full coverage Dull, full coverage Gloss, spot coverage Dull, spot coverage Gloss + Dull, spot coverage

Please select any of the following that apply:
Aqueous Coating
Press Check Requested
Bleeds
Lamination

Folding: Select One Letterfold Accordian Gatefold Other
(If Other, please specify in Comments section below.)

Binding: Select One Saddlestitch Perfect Binding Coil Binding Wire-o Binding Other
(If Other, please specify in Comments section below.)

Please select any of the following that apply:
Score
Shrink Wrap in quantities of 
Pad in quantities of
Perforation    How many?   Right angles
3-Hole Drill

Die Cut: None  New die  Existing die

Mailing List: Provided Premier to purchase mailing list

Mailing Method: Presort First Class  Presort Standard  None

Shipping: to client - local  to client - zip code   other destination - zip code

Comments:

Please call me to discuss Variable Data Printing.