COPY CENTER
REQUEST FORM: ( Must be filled out before materials can be copied )
User Data
User #
(4 Digit Number)
Account Name
(Department Name)
Your Name
Ext.
Email
@NebrWesleyan.edu
Date Needed
(i.e. 12/31/2004)
Time Needed
(i.e. 5:00pm)
Copy Data
# Copies:
Collated
1 sided to 1 sided
1 sided to 2 sided
# Sets:
Stapled
2 sided to 2 sided
2 sided to 1 sided
Covers:
Front
Back
Color of Paper
Pink
Green
White
Yellow
Blue
Other: note in special instructions
Other Color:
Size of Paper
8 1/2 x 11
8 1/2 x 14
Kind of Paper
20 Lb. Regular
Cardstock
Special Instructions
Confidential
NO
YES
File to Copy