Datatek
REPROGRAPHICS
WEBSITE ORDER FORM
Date:
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Month
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Day
Year
Date
Needed By:
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Month
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Day
Year
Date
Time:
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8:00 A.M.
9:00 A.M.
10:00 A.M.
11:00 A.M.
12:00 Noon
1:00 P.M.
2:00 P.M.
3:00 P.M.
4:00 P.M.
5:00 P.M.
Delivery
Will Pick-Up
Ship (See Comments Below)
Description of Services - 1
Job Name:
Services:
Please Select
A-Prints on 20# Bond
B-Prints (Enlarge/Reduce)
C-Vellum
D-Mylar
E-Mounting
F-Laminating
G-Mounting & Laminating
H-Color Printing
I-Color Plotting
J-Scanning
K-Photocopies (B&W)
L-Graphic Design
Other
Number Originals
Number Copies Each:
Size:
Please Select
Business Card
8-1/2 x 11
11 x 17
12 x 18
17 x 22
18 x 24
22 x 34
24 x 36
30 x 42
36 x 48
Other
Binding:
Please Select
SP-Screw Post Binding
PC-Plasticoil Binding
SB-Stapled Binding (Sm Format)
GBC-GBC Binding
RB-3-Hole Punch
EB-Edge Binding (Lg Format)
Other
Special Instructions
Description of Services - 2
Job Name:
Services:
Please Select
A-Prints on 20# Bond
B-Prints (Enlarge/Reduce)
C-Vellum
D-Mylar
E-Mounting
F-Laminating
G-Mounting & Laminating
H-Color Printing
I-Color Plotting
J-Scanning
K-Photocopies (B&W)
L-Graphic Design
Other
Number Originals
Number Copies Each:
Size:
Please Select
Business Card
8-1/2 x 11
11 x 17
12 x 18
17 x 22
18 x 24
22 x 34
24 x 36
30 x 42
36 x 48
Other
Binding:
Please Select
SP-Screw Post Binding
PC-Plasticoil Binding
SB-Stapled Binding (Sm Format)
GBC-GBC Binding
RB-3-Hole Punch
EB-Edge Binding (Lg Format)
Other
Special Instructions
Bill To:
Company:
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Ordered by:
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Address:
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City:
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State
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AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
IL
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KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
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UT
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VT
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Other
Zip Cope:
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Telephone:
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E-mail:
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Type Payment
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VISA
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Approved Account
Call me for card information
Card Number (no dashes)
Expiration Month
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01-Jan
02-Feb
03-Mar
04-Apr
05-May
06-Jun
07-Jul
08-Aug
09-Sep
10-Oct
11-Nov
12-Dec
Expiration Year
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2012
2013
2014
2015
2016
2017
2018
Ship To:
Ship Via
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FedEx Next Day A.M.
FedEx Next Day P.M.
FedEx 2nd Day
FedEx 3-Day
UPS Ground
FTP
PICK-UP
DELIVERY
Same as Bill To:
true
Company:
Attention:
Address:
City:
State
Please Select
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Other
Zip Cope:
Telephone:
Comments:
Datatek-USA, Inc
2809 Newby Rd #123
Huntsville, AL 35805
Tel: 256-539-8402
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