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  • Stony Brook University Requisition Form
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1Order Information
2Contact Information
3Confirmation
4
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Choose Style/Logo:*
Please select one from the choices below.
What would you like to order?*
Color:*
Color:*
Envelope Type*
#10 Envelope Type*
Choose all that apply.
Select the quantity of #10 Standard Envelopes desired.
Select the quantity of #10 Window Envelopes desired.
Select the quantity of #9 Remittance Envelopes desired.
Memo Pad Size*
Please enter the amount of memo pads desired below.
NOTE: Amount must be an increment of 10.
Please enter a number greater than or equal to 110.
PLEASE NOTE: Folders will have the Stony Brook Medicine logo printed.

Please attach a sample of a previous order here. If a sample isn't available, please enter the information that is to be printed in the Additional Information section to the right.
Drop files here or
Accepted file types: jpg, png, pdf, gif, eps, ai, psd, docx, doc, Max. file size: 32 MB.
    Please enter the information to be printed/additional information about your order here (if applicable).

    Contact Information

    Name/Ordered By*
    NOTE: Your confirmation e-mail for your order will be sent to this address.

    Billing/Contact/Delivery Information

    Name/Ordered By*
    PLEASE NOTE: Your confirmation e-mail for your order will be sent to this address.
    For contact purposes.
    Type Of Account*
    Clear Signature
    FOR SBF OR CPMP ORDERS: Please contact us at sborders@pugsprint.com for a quote in order to obtain a PO for your order.
    For any questions/concerns, please call us at (631) 753.4144.
    Signature Name (Print)
    Please enter the delivery location of your order below.
    NOTE: Please make sure to scroll down to the Authorization Area and hit Submit to ensure your order gets processed!
    {all_fields:exclude[107,115]}
    Authorization*
    Please review all of your entered information above and check the box below to proceed with your order. This authorization hereby states that your submission is complete and ready to be processed accordingly.
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