* MANDATORY FIELDS

* First Name:


* Last Name:


* Email Address:


* Voice Phone Number:


* Shipping Address


* University Index Number (Department Account Number):
- This must be a 6 digit numeric – no more, no less

* IRB Number (Internal Revenue Bill):
I – This must be a 6 digit numeric – no more, no less

* Job Name:

* Mail/Completion Date:

* Quantity:

* Material Due by:

* Must check one of three options below:
Delivery to PO
Deliver to WSU Mailroom
Other

* Must check one of four options below:
Non Profit
First Class
First Class Presort
Other

* Components/Material Description list all:
(Selfmailer, #10 Envelope, Etc.)

Check all that apply listed below:

Offset Printing:

Data Processing
Read in Disk
Read in Email
Other
Merge
Merge/Purge
Eliminate Duplicates
Convert to Inkjet
Laser Labels (Avery)

Machine Operations:
Inkjet Address
Insert
Fold

Hand Assembly Operations:
Hand Insert
Hand Match
Laser Address
Pressure Sensitive labels (peel & stick on pinfeed paper)
Misc. Hand Assembly

Overall Job Description:


Techincom Driver to pickup Materials: (enter date, address, contact name & number in box below)


Return balance of materials to: (Enter address, contact name & number in box below)