University of Illinois at Rockford - College of Medicine

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Rockford » Media and Print Shop Project Request Form

Media and Print Shop Project Request Form

Project Request Form

Contact Information

Department Name:

Contact First Name:   Contact Last Name:

Title:

Office Address:

Phone Number:

FOAPAL #:

Final Approver Name:

 

Project Overview

Project Requested:

Date Due:    Would you like an estimate: Yes No

Is this a reprint?: Yes No

Project Description(please provide as much detail as possible):

Target Audience(check all that apply):

Alumni     Community Members   Donors    Faculty & Staff
Patients    Providers    Students Other, please specify:

 

Finishing

Total Quantity Needed:    No. of Pages Per Piece:

ColorBlack & White    2-Color    4-Color

Finished Size:
   Other Size Not Listed:

Folding Required: Yes  No

Does the project need to be mailed?: Yes  No

Special Instructions(binding, cutting, laminating, mounting, etc.):

 
Please allow 2 weeks production for all projects. Rush charges may apply.