Furbush Roberts Printing

435 Odlin Road, Bangor, ME 04401 • 1-800-649-9409 • 207-945-9409 • FAX: 207-945-9971

Please fill in as much as you can. An account manager will contact you with any questions.

Are you a:

New Customer Returning Customer

This is a:

New Order Exact Reprint Reprint with Changes

Quote #
(if applicable):

Company Name:

Contact Person:

Tel#:

Address:

Fax#:

City / State / Zip:

/ /

Email:

General Job Description:

Quantity:

Flat Size:

# Of pages:

Folded Size:

# Of Sheets:

Paper:

Coated (Glossy) Uncoated

Cover Weight Text Weight

How many Colors:

Spot Full-Color Process Color Both Sides

Bleeds:

Yes No

Will you require any assistance from our art/production staff ?

Yes

If YES Describe:

Artwork Provided:

FTP Email Use Existing File at Furbush-Roberts

Additional Information: (special binding, finishing, folds, die-cuts, etc.)

Turnaround Time/Deadline:

You will receive a fax, e-mail or phone call from us within 24 business hours to confirm your order. Please call our Account Managers at 1-800-649-9409 or (207) 945-9409 if you have any questions. You can DOWNLOAD THE PDF version of this form and fax it to us at (207) 945-9971. Thank you for your business!