FTP Folder Number: File Name: Date: File is being sent via E-Mail or Files are being sent by mail or carrier
1) Sold to: Company Contact Address City State Zip E-mail address Phone Ext Fax
2) Ship to: Same as sold to Blind Shipment Residence Company Contact Address City State Zip E-mail address Phone Ext Fax
3) Quantity: Select a quantity below. If you select other, call for a custom quote. 1,000 copies minimum 2,500 copies 5,000 copies 10,000 copies 15,000 copies 20,000 copies 25,000 copies 30,000 copies 35,000 copies 40,000 copies 45,000 copies 50,000 copies See Other Other Quote No.
4) Description: All brochures are printed on 100 lb book paper. Letterhead is printed on 70 lb white offset. Envelopes are printed on a standard 24 lb white converted envelope. 8-1/2" X 11" Single Sheet Flier color on one side (4C/0C) 8-1/2" X 11" Single Sheet Flier color over black (4C/blk) 8-1/2" X 11" Single Sheet Flier color on both sides (4C x 4C) 8-1/2" X 11" 4 Page Brochure (11" x 17" folded) color throughout (4C x 4C) 8-1/2" X 11" 6 Page Brochure (11" x 25.5" folded) color throughout (4C x 4C) 8-1/2" X 11" 6 Page Brochure (11" x 25.5" folded) color over black (4C x blk) 11" X 17" Poster color on one side (4C x 0C) 11" X 25.5" Poster color on one side (4C x 0C) 18" X 24" Poster color on one side (4C x 0C) 24" X 36" Poster color on one side (4C x 0C) 8-1/2" x 11" Letterhead printing color on one side (4C x 0C) 8-1/2" X 11" Letterhead color over black (4C x blk) 8-1/2" X 11" Letterhead color on both sides (4C x 4C) No. 10 Envelope no window printing color on one side (4C x 0C) No. 10 Envelope with window printing color on one side (4C x 0C) 6" x 9" Envelope no window printing color on one side (4C x 0C) 9" x 12" Envelope no window printing color on one side (4C x 0C) Other Other Alternate paper stock* *Price subject to change
5) Folding : 11" x 17" and 11" x 25.1/2" brochures are already folded to 8-1/2" x 11". No folding Tri-fold Z-fold Gate fold Fold in half and in half again Accordian fold Additional fold to 5-1/2" x 8-1/2" Other
6) Bindery: None 1 hole drill 3 hole drill score and fold perforate Other
7) Coating: We apply aqueous (varnish) coating for free. If you do not want it check this box. Do not apply the aqueous coating.
8) Other Instructions:
9) Amount: Printing charge Fold charge Bindery charge Other charge
10) Payment: If paying by check please see Specifications & Terms MasterCard Visa Amex Money Order Check Card No. Exp. Date Name as shown on card AVS code (see below) Street No. (no name) and Zip code where this card is billed to. ALL INFORMATION IS REQUIRED
Tax - Tax will be charged at the local destination rate if delivered inside California unless an original Certificate of Resale is on file in our office prior to shipping.
Freight - We ship via UPS ground / Fedex / USPS or Ontrac or at the request of the customer.
11) Agreement: I have read and I agree to the File Specifications and the Terms and Conditions set forth in this agreement.
Authorized Signature ______________________________ Date _________________ Print Name _____________________________
FILL OUT THIS FORM COMPLETELY AND PRINT IT OUT BEFORE GOING ANY FARTHER Mail, E-mail or FTP files to: Mail files and order form to - Separacolor International (Simply Brochures), 6951 Oran Circle, Buena Park, CA 90621 E-mail files to sales@simplybrochures.com and fax order form to: (714) 367-5748 / (818) 988-3882 FTP - Follow these FTP Instructions and fax order form to: (714) 367-5748 / (818) 988-3882 When sending the files over the internet, please compress the files (stuff-it or Win Zip).
AVS code locator: Return to Simply Brochures Last 3 digits for Visa & MC and the 4 digits for AMEX