Marketing Services Request

Person Making Request *

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Department *

Today's Date *//

Extension *

E-mail *

Budget Code *

Project Title *

Color Scheme

Quantity (for each project format):

In-Hand Due Date (pickup date for final product): *

For mailings, please indicate the mail-by date:

For ads and Inserts, please indicate a run or Insertion Date(s):

Description & Additional Information

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Terms of Acceptance *

I understand that checking this box constitutes a legal signature confirming
that I acknowledge and agree to the above description and payment
from the indicated budget code for this Marketing Services Request.

Digital Budget Authorization Signature *

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