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Client Contact Information
Name: *
Company/ Group:
Address: *
Apt./ Unit:
City: *
Province/ State: *
Postal/ Zip Code: *
Country: *
Phone: *
E-mail: *
Project Details
Title of Publication: *
Author of Publication: *
Provided Ball Media Job Number: *
Proofing Method: *
Please Choose a Method
PDF
Flat Proofs (unbound)
Hard Copy (bound)
Same As Client Contact E-Mail Provided Above
E-mail To Send PDF Proofs: *
Number of Sets Required: *
Shipping Information for Proofs
Same As Client Contact Information Provided Above
Name: *
Address: *
Apt./ Unit:
City: *
Province/ State: *
Postal/ Zip Code: *
Country: *
Phone: *
* = required field
Artwork/ Graphic Details
Graphics Contact Name: *
Graphics Contact E-Mail: *
Graphics Contact Phone Number: *
Artwork Files Provided As (file type): *
Please refer to the
Self-Publishing Specification Guide
for acceptable file formats
Files to be Uploaded/ Provided by (date): *
mm/dd/yy
Requested Completion Date for Final Order (date): *
mm/dd/yy
Number of Ship to Addresses: *
Number of "Ship to" Addresses
1
2
3 (add $20.00 handling fee)
4 (add $20.00 handling fee)
Shiping Address #1
Name: *
Address: *
Apt./ Unit:
City: *
Province/ State: *
Postal/ Zip Code: *
Country: *
Phone: *
Number of Books Required: *
Shipping Method: *
Carrier Name/ Account Number (if applicable):
Delivery Date Required by: *
mm/dd/yy
Shiping Address #2
Name: *
Address: *
Apt./ Unit:
City: *
Province/ State: *
Postal/ Zip Code: *
Country: *
Phone: *
Number of Books Required: *
Shipping Method: *
Carrier Name/ Account Number (if applicable):
Delivery Date Required by: *
mm/dd/yy
Shiping Address #3 - Handling fee of $20.00
Name: *
Address: *
Apt./ Unit:
City: *
Province/ State: *
Postal/ Zip Code: *
Country: *
Phone: *
Number of Books Required: *
Shipping Method: *
Carrier Name/ Account Number (if applicable):
Delivery Date Required by: *
mm/dd/yy
Shiping Address #4 - Handling fee of $30.00
Name: *
Address: *
Apt./ Unit:
City: *
Province/ State: *
Postal/ Zip Code: *
Country: *
Phone: *
Number of Books Required: *
Shipping Method: *
Carrier Name/ Account Number (if applicable):
Delivery Date Required by: *
mm/dd/yy
Please Provide Any Additional Special Instructions:
