Output Request Form

Deneba Prepress Center Output Request Form

This form may not be submitted electronically. Do not type into it with your browser as most browsers do not print data typed into the fields of a form. Instead, print this form first (empty), then fill out completely and fax to (305) 273-9069.

CONTACT INFORMATION

Name

Organization

Address

City
State / Province Zip / Postal Code

Office Phone

Alternate Phone

DELIVERY INFORMATION (if different from above)

Shipping Address

City State / Province Zip / Postal Code

TURNAROUND TIME

50% Rush charges may apply.

FONTS USED

COPYRIGHT RELEASE

I hereby certify that I, the customer, own OR have licensed OR have received permission to use any and all copyrighted information that may be contained in the document submitted to Deneba for output.

I Agree

OUTPUT MEDIA

Film 3M Matchprint III RC Paper

Positive Negative

Emulsion Up Emulsion Down

FILE NAMES to be output

OUTPUT SPECIFICATIONS

Output all pages Output from to

MARKS

Crop Marks Registration Marks

Plate Names File Name Slug

RESOLUTION / LINE SCREEN

SEPARATION TYPE

Process Spot (list colors to be printed)

ADDITIONAL INFORMATION / SPECIAL INSTRUCTIONS

METHOD OF PAYMENT

MC Visa AmEx

Cardholder Name (if different from above)

Account Number Exp.