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Name:                     
Company:
City:  State: Zip Code:
Phone Number: Fax Number:
Email Address:

Current Customer?  Yes  No
If Yes, indicate Sales Person/Sales Rep (if known):

Enter up to 4 Delivered Quantities Desired in Estimate:
1st    2nd    3rd    4th
Type of Product:  

Size Descriptions:
Finished Size:     If Other, enter approx. size:
Flat Size:     If Other, enter approx. size:     
Pages:     -or-   Sides: 

Stock Desired:   If Other, enter description:  
Finish: Coated  Uncoated  Text Basis:   Cover Basis:
If Coated:   If Uncoated:

Job Description:

Pre-Press:
Platform:   Media Supplied:
Required Activity: PreFlight  Paste Up  Design  Typesetting  Imaging
Application Used:  Pagemaker   Quark   Other
Number of Scans Required:    Sizes:
Proofs: Matchprint  Blueline  Laser  Digital Color  Other

Inks:
Colors per Side (1/1, 2/3, 4/4, etc):   Bleed? Yes  No
List all colors desired (PMS, Process, Black, etc) :

Bindery and Finishing Operations:
Fold  Stitch  Pad  Gather  Perf  Number 
Die Cut  Foil Stamp  Laminating  Other
Wrap:   Packaging:   If Other:

Delivery: PickUp  UPS  Courier  Our Truck  Other

Special Instructions:

Submitting this form will generate a confirmation letter to you. Within a few hours, you will also receive by e-mail a complimentary bid that illustrates how Moonlight Design and Computer Services actually works within the eCommerce environment.

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