Print Shop Order Form

Name *

Email Address *

(You will receive an email when your order is ready for pick up.)

Order Date * +

Date needed * +

How will you be paying? *

Budget code

Cash/Check/Debit/Credit/Gift Card

Budget Code *

Which campus are you on? *

Which service(s) do you need? *

Print Job

Order envelopes

Order reams of paper

Is your "Date Needed" today? *

Yes ($3.00 fee)

No

Upload File *

Upload File

Copyrighted material is covered by: *

N/A - Documents contain no copyrighted material

Fair Use

Authorized (attach authorization)

I acknowledge that clicking this box is considered an electronic signature for the purpose of verifying copyrighted materials.

Number of Copies Needed? *

Extra Services (Price per copy)

Print one sided or front and back? *

One sided

Front and back

# of Total Pages Being Printed? (Number of pages in your document times number of copies needed) * 🛈

Printing Options (price per printed page:) *

Black and white ($0.05)

Color printing 8.5" x 11" ($0.15)

Color printing 8.5" x 14" ($0.20)

Color printing 11" x 17" ($0.30)

Total # Pieces of Paper Used? * 🛈

Page Services: *

20# Paper Color? *

Card Stock Paper Color? *

*Carbonless copies require minimum order of 50.

**Carbonless copies also require 5 working days to print.

Special Instructions

# of Boxes of Envelopes? *

	Window Envelopes, B&W ($45.00)
	Windowless Envelopes, B&W ($42.00)
	Window Envelopes, Color ($55.00)
	Windowless Envelopes, Color ($52.00)

Return address and any special instructions: *

Paper Reams

	20# White 8.5" x 11" ($6.00)
	20# Blue 8.5" x 11" ($9.00)
	20# Canary 8.5" x 11" ($9.00)
	20# Ivory 8.5" x 11" ($9.00)
	20# Buff 8.5" x 11" ($9.00)
	20# Goldenrod 8.5" x 11" ($9.00)
	20# Pink8.5" x 11" ($9.00)
	20# Green 8.5" x 11" ($9.00)
	20# Tan 8.5" x 11" ($9.00)
	20# Red 8.5" x 11" ($9.00)
	20# Lavender 8.5" x 11" ($9.00)
	20# White 8.5" x 14" ($8.00)
	Digital Color Copy 8.5" x 11" ($8.00)
	Digital Color Copy 8.5" x 14" ($9.00)

Order Total:

$0.00

Do you want a confirmation email?

Note: If you get a confirmation email, it will come from "print.shop at src.edu" as the name, but the actual email address it will come from is "form_engine@fs16.formsite.com." Unfortunately, we cannot do much customization to notification emails.

Questions about this form? Contact Katey Davis.

20# White 8.5" x 11" ($0.00)	20# Color 8.5" x 11" ($0.01)	Heavy Stock White 8.5" x 11" ($0.07)
Heavy Stock Color 8.5" x 11" ($0.10)	Heavy Stock White 8.5"x14" ($0.12)	20# White 8.5" x 14" ($0.03)
20# White 11" x 17" ($0.07)	Glossy 8.5" x 11" ($0.09)	Glossy 8.5" x 14" ($0.12)
Carbonless Copy 2 pieces ($0.10)	Carbonless Copy 3 pieces ($0.13)	I'll provide my own paper
Lamination 8.5" x 11" ($1.00)	Lamination 8.5" x 14" ($1.50)	Lamination 11" x 17" ($2.00)
Cut in half - one cut ($0.02)	Cut in thirds - two cuts ($0.04)	Cut in fourths - two cuts ($0.04)
Cut in 4x6 table top displays - six cuts ($0.12)	Print labels - 30 labels per page ($0.60)