Full Name
*
First Name
Last Name
E-mail
*
Phone number
*
Company Name (or LBH Dept.)
Project Name
*
Delivery Date
*
/
Month
/
Day
Year
Date
Cost Center #
*
Quantity
*
Type of Item
Please Select
Flyer
Form
Card
Brochure
Newsletter
Label
Booklet
Other
Color or B/W Printing
*
Color
Black & White
Mixed
Single or Double-sided
*
Single-sided
Double-sided
Mixed
Size
Please Select
8.5" x 11"
11" x 17"
5.5" x 8.5"
4.25" x 5.5"
Other - up to 14" x 26"
Other Size
Paper Color
Please Select
White
Yellow
Pink
Blue
Green
Lavender
Other
Other Paper Color
Folding?
Yes
No
Stapling?
Yes
No
Specific location where project should be delivered. Include hospital name, building, dept., floor/room # or indicate PICK UP
*
Special instructions & specifications. (Stapling, binding, NCR paper, etc.) Be as detailed as possible. 1,500 characters max. Files must be submitted in PDF format.
*
Please be sure to upload your file(s) before sending.
Upload file (files can be uploaded up to 50MB)
Upload 2nd file (if applicable)
Upload 3rd file (if applicable)
Submit
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