Publications Request Form General Information Department * Budget to be Charged Must be complete before we can start job Project Coordinator * Coordinator Email * Telephone Extension * Date you are submitting copy Anticipated due date Delivery Instructions Delivery to: Location on campus Mailhouse Pepin Storage Deliver to this location on campus Mailhouse contact name Mailhouse phone number Storage # Necessary if keeping items at Pepin Specifications Publication name Quantity Purpose of publication Audience of publication Mailing Information Will your publication be on a self-mailer? Yes No How do you plan on distributing it? Will you need a indicia printed on publication? Yes No Are there other pieces accompanying this publication? Yes No List and Provide samples of other items, including envelopes, if we are not producing them.