Printing Services - Business Card Order Form

• Step 1: Main Fields

• Name:

  Name: * First Last
• Degrees:
• Job Title: *
• Department Name: *
• Office Phone:

  Office Phone: * - ### - ### ####
• Mobile Phone:

  Mobile Phone: - ### - ### ####
• Fax:

  Fax: - ### - ### ####
• UWinnipeg Email Address: *
• Specific UWinnipeg webpage (optional):
• Additional Instructions:

• Step 2: Office Address (Optional)

• Building Name:
• Room Number:

• Please Note: the main campus mailing address is already included on ALL cards. Your office address may be added, if desired, to denote your office location.

• Step 3: Ordering Information

• Department: *
• How will you be paying?
  How will you be paying?

  Department Account Cash/Cheque/Debit
• Department Account Number: *
  Must be 4 digits.   Currently Entered: 0 digits.
• Award Number:
  Must be 5 digits.   Currently Entered: 0 digits.
• Natural Account Number:
  Must be 5 digits.   Currently Entered: 0 digits.
• Contact Person *
• Contact Person Phone Number*

  Contact Person Phone Number* * - ### - ### ####
• Order Required By (Date):*

  Order Required By (Date):* * / MM / DD YYYY

  
• Quantity *
  100 - $37.50 250 - $52.00 400 - $67.00 800 - $108.00

• Note: You will be notified when cards are ready for pickup.

• Spam Protection. Please answer this question:
  4, 5, 6, 7 : the 3rd number is?