Print Intake Please fill out this form and upload a print-ready file. 1 Contact2 Payment3 Delivery4 Production5 Production (continued)6 Upload ContactName * Required First Last Email * Required Requesting Department * RequiredOffice numberCell numberOff-campus number PaymentPayment MethodAccount or Cost Center No.InvoicePay by Check at Front DeskPay by Credit Card at Front DeskPay by Cash at Front DeskAccount or Cost Center No.Enter your 10 character code. Example: 123456789A Delivery LocationDelivery LocationOn CampusOff CampusPick up at Front DeskBuilding NameRm/Ste #OFF Campus Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Production InformationJob NameDelivery Date requested - must be mm/dd/yyyy format Date Format: MM slash DD slash YYYY Quote NeededYesNoProofPDF proof onlyNo proof neededHard copy proof neededQuantityFlat SizeFinished SizePage count(applicable to newsletters, booklets, magazines, etc.)Paper stock/weight(if unknown, printing services can advise) InksFull Color2 ColorBlack and White4/1BinderyCheck all that apply Saddle-stitch Coil Stapling Hole-drilling Inserting Score Perforation Lamination Foam-Core Mounting Tabbing No binding FoldingFold in 1/2Fold in 1/3Roll FoldGate FoldZ FoldAccordion FoldNo foldMailing Direct Address Variable Data Meter First Class Presorted First Class Non-profit postage No mailing UploadSpecial Concerns/Requests:Example: Multiple versions of a postcard.Upload Files via Box - enter a valid website URL for example https://www.google.comBox Steps: 1. Share your folder of files 2. Enable shared link 3. Shared link settings: "People in your company" and "Can view and download" 4. Copy link and place in the field below. (If you are not a part of the UM network, you may share a Dropbox, Google Drive, or other file sharing link below.) CommentsThis field is for validation purposes and should be left unchanged.