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CONTACT INFORMATION
Title:
 Name:
Company:
 Address:
City, State/Province, Zip/Postal Code:
 Country:
Phone Number:
 Fax Number:
Cell Number:
 E-mail Address:
Artwork Provided:
 Preferred Response:

BILLING INFORMATION
Amount Quoted:
 Name on Credit Card:
Company:
 Billing Address:
City, State, Zip:
 Credit Card:
Credit Card No:

(No spaces please)		 CVV2 No./Security Code:

(Last 3-4 digits on front/back of card)
Expiration Date:
  
Paying by Check: To start work we require a check for one half of the estimated amount.
The balance is due upon completion and must be received before order can be shipped.
Sales Person:

  

SHIPPING INFORMATION
Name:
 Company:
Address:
 City, State, Zip:
Country:
 Phone Number:
E-mail Address:
 Notes:
Please ship my order:

  
UPS  
All orders will ship UPS Ground Service unless otherwise specified.

Third Party Shipper Number:
There is a minimum fee of $7.00 per package for 3rd Party Shipping & Handling.

GENERAL PROJECT INFORMATION
PO Number:
 Project Name:
Project Due Date:
 Reprint:
Proof Type:
  

JOB ONE
Description:

(Example: Business Card, Letterhead, Envelope, etc.)		 Quantity:

(Example: 500, 1M, 2500, 5M) M = Thousand
Size Flat:

(Example: 17"w x 11"h)		 Size Folded:

(Example: 8.5"w x 11"h)
Side(s):

 (Example: Single Sided, Double Sided)
 Ink Color(s):

 (Example: Black, PMS, 4C Process)
Stock:

 (Example: 70 LB White Text, 100 LB Natural Cover)		 Coating:

 (Example: Matte/Gloss, Aqueous, Varnish, UV) Leave blank for uncoated
Bindery Specifications
This project will require the following:

Please check all that apply
Collating  Folding  Drilling  Numbering  Padding  Perforation 
Paper Banding Perfect Binding  Saddle Stitching Stapling  Stringing Tabbing 
3-Hole Punching Die Cutting  Embossing  Foil Stamping  Laminating  GBC Binding 
Wire-O Binding          
Additional Bindery Specifications:
 Comments/Instructions:

FILE UPLOAD
Please upload your zipped, stuffed, or compressed file(s) by clicking "choose file" and then selecting your file.
Our system can accept transfers of up to 100MB per form submission. If your files exceed this limit, you may either
upload more files by submitting an additional form, send us your files on CD or DVD, or call for private ftp access.
Be sure to use the same "project name" and/or reference number that was used on the original submission form.
Choose file(s) to be uploaded:
  

ADD JOB
(Use when submitting multiple elements in a project)

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5 Sicomac Road, Suite 124, North Haledon, NJ 07508
© 2007 High Mountain Graphics