Please print this form, fill in the spaces below as completely as possible, and then mail it, along with artwork/rough sketch, to:

Appleton, 100 Papermill Road, Roaring Spring, PA 16673

Contact Information

   Customer/Business Name:  ______________________________ 

   Contact Name:  ______________________________ 

   Telephone:  ______________________________ 

   Address:  ____________________________________________________________ 

   Request Date:  ______________________________ 

   Requested Completion Date:  ______________________________ 

Watermark Specifications

   Primary Element (e.g. company logo):  ______________________________ 

   Height:  __________ mm

   Width:  __________ mm

   Secondary Element (e.g. lettering):  ______________________________ 

   Height:  __________ mm

   Width:  __________ mm

   Font Name:  ____________________________________________________________ 

   Font Size:  __________ pt

   Special Requirements:  __________________________________________________________________________________________ 

   Style: (Please check one of the following)

   

Sheet Specifications

   Application(s):  ____________________________________________________________ 

   Required Dimensions of Final Document:

   Height:  __________ mm

   Width:  __________ mm

   Read Direction:

   Front    Left to Right

   Front    Right to Left

   Back     Left to Right

   Back     Right to Left

   Layout: (Please check one of the following)

   

   Web Orientation: (Please check one of the following)

   

   Security Thread:

   Yes

   No