COPY CENTER REQUEST FORM
All sections must be completed. Any section that is not marked will be left to the discretion of the copy center.
Today's Date:
Department:
Budget Code:
Your Name
Extension:
Name of Job:
Pages of
Quantity
Date/Time Needed:
Originals
Desired:
JOB DETAILS (Please Circle)
Your Originals:
Print on:
8 1/2 x 11
one-sided
8 1/2 x 11
Standard Paper
White
81/2 x 14
two-sided
8 1/2 x 14
Card Stock
Color:______________
11 x 17
11 x 17
one-sided
3-Hole Punch
two-sided
NCR
Spiral
Standard
Front
BINDING:
Black Paper Bind
White
Back
COVERS:
Single
Card Stock
STAPLE:
Double
Color:_________________
Yes
COLLATE:
FOR COPY CENTER USE ONLY:
No
Time in:
Time Completed:
Turnaround:
CUT:
FOLD:
1/3
1/4
1/2
1/3
1/4
1/2
Total # of Copies:__________________
YES
PASTE UP:
Called for pick-up:________________
NO
Initials:_____________
PADS:
# sheets per pad
# of pads
COMMENTS: