CUSTOMER INFORMATION
First Name:
Last Name:
Organization:
Address:
City:
State:		Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico
Zip:
Phone Number:
Fax Number:
E-Mail:
DELIVERY INFORMATION (if different from above)
Contact Name:
Organization:
Address:
City:
State:		Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico
Zip:
Phone Number:
Best Time to Deliver:		Morning Afternoon Evening
PRODUCT INFORMATION
Type of Product:		Brochure Flyer Other      Other (please specify):
Quantity #1:		1,000 2,500 5,000 10,000 15,000 20,000 25,000 50,000 100,000 250,000 500,000 Other   Other (please specify):
Quantity #2:		None 1,000 2,500 5,000 10,000 15,000 20,000 25,000 50,000 100,000 250,000 500,000 Other   Other (please specify):
Quantity #3:		None 1,000 2,500 5,000 10,000 15,000 20,000 25,000 50,000 100,000 250,000 500,000 Other   Other (please specify):
Product Trim Size:		3 5/8" x 11" (envelope size) 8 1/2" x 11" 9" x 12" 8 1/2" x 14" 11" x 17" Other:
Number of Panels:		No panels (flyer) 3 4 6 8 12 Other   Other (please specify):
Type of Fold:		Single Fold Letterfold Double Parallel Roll Fold 4-Panel Single Gatefold Double Gatefold Accordian 3-Panel Accordian 4-Panel Accordian 5-Panel Newsletter 4-Panel Newsletter 6-Panel Z Newsletter 6-Panel Roll Other   Other (please specify):
PAPER INFORMATION
Paper Type:		Coated Uncoated Other   Other (please specify):
Paper Thickness:		40 lb. 50 lb. 60 lb. 70 lb. 80 lb. 100 lb. Printer's Choice Other lb.   Other (please specify):
Is there a specific type or brand of paper?
TEXT INK INFORMATION
Text Ink Colors (Front):		1 Color 2 Colors 3 Colors Four-Color Process Other   Other (please specify):
Text Ink Colors (Back):		Blank 1 Color 2 Colors 3 Colors Four-Color Process Other   Other (please specify):
Will there be color photographs or artwork on the inside of your product? Yes No
		If yes, who will supply the color separations? 7-Dippity Customer
BLEED INFORMATION
Will there be any bleeding? Yes No
PRE-PRESS INFORMATION
Will customer be supplying 7-Dippity with a photo-ready copy of product? Yes No
If yes, what manner: Output Ready Disk Camera Ready Art Composed Film If no, what 7-Dippity services do you require? Typesetting / Layout Artwork Editing Help Us! Other (please specify):
BINDING INFORMATION
Additional Services:		Score   Emboss   U.V. Coating   Perforation   Foil Stamp   Die Cut   Numbering   3-Hole Drill   Shrinkwrap (please specify lot size):
OTHER PERTINENT INFORMATION
What type of proof would you like to see before printing?   Blueline Color Key Matchprint What is your required delivery date?   January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Will you require mailing services?   Yes No How would you like to be contacted with your estimate?   E-Mail Telephone Fax Please make any special instructions or comments about your request here: