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First Name*	Last Name*
Company Name
Street Address
City	State	Zip Code
Phone Number*	Email*	Date Job is Needed
Stock Type	Size	Binding Strip Type
Binding Strip Material	Binding Strip Size	Binding Strip Reading
3-Hole Punched* YesNo	Padding YesNo	Binding Strip Color
Attach Artwork File Size: 1000KB Maximum File Types: .jpg .pdf .ai .eps .psd		Will you be submitting a hard copy of artwork? YesNo
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Aurora Printing & Equipment Supplies

PO Box 0338
North Aurora, Illinois 60542
Phone: 630.892.3776
EMail: sales@4apes.net