Authorization for Printing
HSC Campus

This form must be received before any work can begin. Any changes to this order must be in writing. A job number will be assigned to this request and an acknowledgement of order sent to you.

This is a reprint with NO changes.

This is a reprint WITH changes.

A sample of your printed item must be faxed (271-5677), sent through Central Mail or call for courier (271-5489)

Contact Person:  

Date: 

Phone:    Fax:

Department to be billed: 

Account #: 

Old job # (if known): 

Quantity:

Date Requested: 
      (subject to production scheduling)

Do you want to proof this job before it is printed? Yes No

Fax proof? Yes No

Proof fax #

Deliver proof? Yes No

Deliver proof and finished product to same location? Yes No

Proof Delivery Location:
Room #

Finished product delivery information:
(If different from proof delivery location)
Room#

Delivery contact person:

Telephone #

Any additional comments, information or instructions?


If you have any questions, or for complex orders, please call 325-4176 to speak with your Customer Service Representative