T DIGITAL DOCUMENT SERVICES PRINTABLE COPY CENTER REQUISITION Req#
Please note: Making copies or reproductions of previously printed material is subject to the provisions of the copyright act of October 17, 1975, title 17 U.S. code. This applies to making copies on the convenience copiers as well as work submitted on requisition. By submitting this order the requisitioner assumes liability for any possible infringement of the copyright law.
Today's Date Date/Time needed

 
Contact person Department

 
Building Room Number T.U.Zip Phone Number
Originals
No. of originals
Copies
No. of copies per original
Printed on
1 Side
2 Sides
Staple
Yes
No
Collate
Yes
No
Three Hole Punch
Yes
No

 
Paper Covers Binding Finishing
Size Options Method Folding
Paper Color Cover Color Color Transparency Overheads
Weight Weight Full Color Copies  

Additional Instructions

 

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Print Authorizing Name:

 

Authorizing ________________________________________________________________________________

The above signature authorizes direct charge against the account number listed above. This order will not be accepted without appropriate signature and account number.

 

Deliver to ( if different from above address):

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