Date*:

Name of person submitting request*:

Client name*:

Org/Dept. name*:

Phone number*:

E-mail*:

Campus address:

Who must give final approval*? (name and phone):

Name of publication*:

Type of publication*: Ad Booklet Brochure Card/Holiday Card Communications Planning Fact Sheet Flier Invitation Letter Newsletter PDF Policy Brief Postcard Poster Report Web Site/Piece Other
Additional pieces? Please list.

Is this:
a new job?
an update of a previous job? If so, please send a marked-up copy of the previous piece, with costs noted on it.
part of a series?

Date needed*: MM DD YYYY

Event date: MM DD YYYY

Please keep in mind that printing turnaround is two to three weeks.

Quantity*:

Delivery location:

Primary audience*:

Purpose of publication*:

How will you measure the success of this project?*:

Budget*:
Please note that the budget and quantity are necessary to be able to determine design direction and print needs.

Encumbrance number for Photo Services:

Encumbrance number for Printing Services:

You will be billed directly for use of these services.

Department to be billed*:

Bookkeeper (name, campus address, and phone):

Please note any upcoming vacations, leaves of absence, etc. that could affect our scheduling process: