Organization Name Contact Name Title Address City State  Zip Code Email Address Daytime Phone  Fax SAME AS "BILL TO" INFORMATION Organization Name Contact Name Title Address City State  Zip Code Email Address Daytime Phone  Fax Payment Method   MASTERCARD VISA PO Number Credit Card/PO Number Name on Card Exp Date (mm/yy) Credit Card Security Code		Software Used   Print-Ready Adobe PDFs Quark XPress Adobe InDesign Adobe Photoshop Adobe Illustrator Adobe PageMaker Is the file Windows Macintosh Is the file PDF          Application Is the file Zipped     Stuffed         Neither Name of Compressed File File Name(s) uncompressed   Number of Panels Single Panel 2-Panel 3-Panel 4-Panel 5-Panel 6-Panel PMS Colors Used Send A Proof - Overnight shipping of 1 Press Proof for an additional $25. Final Approval must be received before job will move forward in production. NO Proof - Send to Print - Choosing this option approves job "As Is" sending it to print exactly as we receive it. No changes can be made. You will not receive a proof and assume full responsible for all aspects of the job. I have read the Submission Guidelines and agree to the Terms and Conditions as stated. Quantity        500   1,000   2,000   3,000   5,000   7,500 10,000 15,000 25,000

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