Order Form
* Indicates Required Field
Company*:
Send To:
Customer Service Rep.
---------------------
Jerry DiMuzio
Bill Ferguson
Rick Gray
Jamie Nortman
Job Name:
P. O. #:
Contact*:
Phone Number*:
E-mail*:
Fax Number:
Quote
No Quote Needed
Quote and Proceed
Requested Delivery:
Job Elements Furnished
Films
Disk
B/W
SCITEX
Transparencies
Syquest
Color Art
Electronic Data
Printed Samples
ZIP
Die Line
Other
Colors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Line Screen:
Face Print
Back Print
Mirror Print
For Multiple Selections:
Apple = Command Click
PC= Control Click
Cylinder Teeth:
Pitch:
1/32
1/8
1/4
10
Other, specify below
Die Cut or Finished Size
Across
Around
Cylinder Repeat
Stock or Web Width
Single Knife
Die Corner Radius
# Images Across Web
Space Between
# Images Around Web
Space Between
Proof Information
(Please Enter # of Each)
Cromalin
B&W Stat.
Water Proof
Digital Proof
PDF
HP
Match Print
Print Cards
Approval
Dylux
Color Key
Laser Master
PLATES
Thickness:
.030
.045
.067
.100
.107
.155
.250
Relief:
Material:
CL4
EPIC
EXL
FAH
FAR
HOS
NOW
PLS
UXL
UVP
Plates Per Color:
0
1
2
3
4
5
6
7
8
9
10
Punched
Curved
Centerlined
FILMS
Single Negs
Stepped Negs
Silkscreen or Hotstamp
Ship Negs with Plates
or CPPI File
Special Instructions
Before submitting, please print this page for your records.