ORDER FORM        
Please fill out this form while online.  When completed, print       
out and fax it to (818) 988-3882 or submit with materials.         

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.
  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.

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".
  Other

6) Bindery:  
  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
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