PRINTING and - Delaware



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600A South Bay Rd.

Dover, DE 19901

SLC: D100

Please complete this form and save it to your computer. After saving the form, please send it as an e-mail attachment to our PPO mailbox: PPOWorkOrder@ Also attach all print files for order. If files are too large for email, please provide to our office via CD/DVD. If you need assistance for filling out this form, please contact the PPO office at 857-4521.

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|CONTACT INFORMATION |

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|Requestor Name*:       | |Phone*:       |

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|Agency*:       | |Fax*:       |

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|Accounting Code*:       | |E-mail*:       |

|Example: 10-02-41 | | |

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|WORK REQUEST |

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|Document Title*:       | | New Job Exact Reprint Reprint with Changes |

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|Number. of Pages*:       Quantity*:       | |If Reprint, when was the job printed:       |

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|Due Date:    /    /    Firm Deadline? No Yes | |Previous Work Order Number:       (Ex: FYXXXX) |

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|Is this for an event, if so when? Event Date:    /    /    | | |

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|Request is for*: | Printing Design Estimate/ Quote Variable Data Bulk Mailing |

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| |Printing |

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| |Quick Copy |

| |Proof |

| |Estimate |

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| | CD / DVD Duplicating Meeting to discuss your project and/or cost cutting efficiencies |

|Proof Request*: | Email Proof (standard form of proof) Hard Copy Proof (laser print out proof, may be additional cost) |

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|JOB SUBMISSION TYPE* |

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|Do you have an electronic file for this job? Yes No (If yes, please attach it to the wok request email or send CD/DVD to PPO.) |

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|What is the file format of the job? InDesign Photoshop Illustrator PDF Word Other |

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|DELIVERY/INVOICE* |

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|Deliver To: | |Invoice To: |

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|Name:       | |Name:       |

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|Division/Section:       | |Division/Section:       |

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|Phone:       | |Phone:       |

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|E-mail:       | |E-Mail:       |

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|Mailing Address:       | |Mailing Address:       |

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|City, State, Zip:       | |City, State, Zip:       |

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|SLC Code:       | |SLC Code:       |

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|Building/Floor:       | |DDS Number:       |

* = Required Field/Section. The Printing and Publishing Office will return incomplete requests to the customer.

|DOCUMENT SIZE AND IMAGING* |

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|Original Size*: |      | |

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|Finished Size*: |      | |

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|Sides Imaged*: | 1 Sided | 2 Sided |

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|INK/COLOR* |

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|Number of Colors*: | 1 Spot | 2 Spot |

| | Full Color Process |

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|Colors Used*: | Black             |

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|Bleeds*: | Yes | No |

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|PAPER STOCKS* |

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|(Standard = Lightweight paper; Cover = Cardstock paper) |

|Standard Paper: | | |

| Color: |      | |

| Weight: | 20/50 lb. | 28/70 lb. |

| | 24/60 lb. | 32/80 lb. |

| | Other       | |

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| Finish: | Uncoated Dull Gloss |

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|Cover Paper: | | |

| Color: |      | |

| Weight: | 65 lb. | 80 lb. |

| | 100 lb. | 110 lb. |

| | Other       | |

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| Finish: | Uncoated Dull Gloss |

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|Tabs: | 5 Position | Other       |

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|NCR Forms: | Number of Parts       |

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|ENVELOPES |

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|Size: |      |Color: |      |

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|CD/DVD REPRODUCTION |

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|Label Choice: | Color | B/W |

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|Packaging Choice: | C-Shell Case Paper Sleeve Spindle |

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|DOCUMENT FINISHING* |

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| Slip Sheet | Perforate | Tape Bind |

| Staple (1) | Laminate | Saddlestitch |

| Wrap | Coil Bind | Comb Bind |

| Drill -       holes Top Side |

| Pad -       sheets per pad |

| Number from       to       |

| Folding |Folding Type:       |

|ADDITIONAL INSTRUCTIONS/COMMENTS |

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* = Required Field/Section. The Printing and Publishing Office will return incomplete requests to the customer.

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Order #: _____________________________

Due Date: ___________________________

Vendor: _____________________________

PPO Work Order Form

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