Department Name
*
Please Select
3GM
Administration
Cardiology
Care Management
Central Processing
CIE
EMS
Endoscopy
Foundation
GSPN Admin
GSPN Orthopedics
GSPN Peak Performance Orthopedics
GSPN Podiatry
Health Information
Human Resources
Infection Prevention
Laboratory
Mammography
Maintenance
Marketing & Public Relations
Medical Staff Office
Nursing Administration
Nursing Outreach & Education
Ortho Therapy
Patient Access
Perinatal Services 5GM
Perioperative Services
Physical Medicine IP
Physical Medicine OP
Radiology
Rehab
Risk Management
SDSC
Social Services
Sports Performance
Trauma
Volunteer Services
Quality
Other
Printing Request
Please provide order details, customization, and delivery information.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Department Name to be Charged
*
Department Number to be Charged
*
Order Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Requested By:
Deliver to Location
*
Please provide deparment and room number info.
Deliver to Location
*
Receiving
Marketing
GSH Foundation
Department Expecting Delivery
Person Expecting Delivery
*
First Name
Last Name
Project Name
*
Number of Originals
*
Number of Copies
*
Inventory Item
Please Select
Room Service Menu
Discharge Information Envelope
Patient & Visitor Information Guide
Modified Diet Menu
Packaged in 50s - please pick quantity
Stock Type
*
Business cards (1 sided)
Business cards (2 sided)
Appointment cards (2 sided)
Paper
Card
Letterhead
Carbonless 2-part
Carbonless 3-part
Other
Size
*
5.5" X 4.25"
5.5" X 8.5"
8.5" X 11"
8.5" X 14"
11" X 14'
11" X 17"
Other
Stock Color
*
Canary
Goldenrod
Blue
Green
Pink
White
Other
Color Ink
*
Black
Color
Printed On
*
Two sides - same
Two sides - different
One side
Two Sided Options
Run head-to-head
Run foot-to-foot
Printed Copies Need to Be
*
Padded
Hole punched
Loose sheets
Collated & stapled
Collated
Other
How many sheets per pad?
Which side should be padded?
Top, bottom, left, right
Folding
Single fold
Letter fold
Z fold
Other
Special Instructions or Notes (optional)
Upload Artwork or Design File (if applicable)
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