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Office Hours: 8:30 am to 4:30 pm, Monday thru Friday
2067 W. Market St., Pottsville, PA 17901 (570) 622-7370 Fax: (570) 628-0731

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Please provide us with all the necessary information
so that we may better create a quote for you.
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Name*
Title
Organization
Street Address*
Address 2
City*
State / Province*
Zip / Postal Code*
Country*
Work Phone*	Enter "no" if you want us to call only your home phone #.
Home Phone*	Enter "no" if you want us to call only your work phone #.
Fax
Email
URL

Job Description and Information
Job Description	Letterhead Business Card Ticket Newsletter Postcard Label	#10 Reg. Envelope #10 Win. Envelope Catalog/Envelope Flyer Note Pads Folder	Computer Forms Form - Single Sheet Form - 2pt NCR Form - 3pt NCR Form - 4pt NCR Form - 5pt+ NCR
If other, Specify
Size

How many colors will you need?
Front	1 Color - Specify - 2 Color - Specify PMS # - 3 Color - Specify PMS # - Process Color
Back	1 Color - Specify - 2 Color - Specify PMS # - 3 Color - Specify PMS # - Process Color

What type of paper would you like?
What is the purpose of this job?
Select Your Paper	Bond Glossy	Cover Color	NCR
Finished Product Size		(example: 8.5 x 11)

How many do you think you will need?
Quantity 1	Quantity 2	Quantity 3

What other services will you require? (check all that apply)
Die Cutting Shrink Wrapping Perforating Gluing Numbering Other Binding	Padding in 50 Padding in 100 Folding Stitching (Staples) Punch Holes Scoring

Any special printing qualities? (check all that apply)
Bleeds	Screens	Close Registration

Select Artwork
Camera-ready on diskette or cartridge Hard-copy rough draft No Artwork	Final copy - laser printout Negative

Please give us any other instructions that you may have in the box below.

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