P.O. Box 712 Lehi, UT 84043 (office) 801-756-8890 (fax) 801-756-0707 BHowell@MediaFast.info
P.O. CHECK LIST
To help us process your order more efficiently, fill in the following form, print, sign and date, and send it in with your order.
                    Customer:                       Contact:                           
                         Phone:                            Date:
 
1. CUSTOMER PURCHASE ORDER NUMBER:
2. REQUESTED DUE DATE:
3. TITLE OF CD:
4. WORK ORDER TYPE (choose one):
new replication
reorder
print only
stamper only
packaging only
5. SHIP TO ADDRESS:  
address 1:      
address 2:      
city, state, zip:
6. SHIPPING ARRANGE BY (choose one): Media Fast Customer

7. SHIPPING METHOD (choose one):
UPS Overnight A.M.
UPS Standard Overnight
UPS 2nd Day
UPS 3 Day Select

FedEx Priority
FedEx Standard
FedEx Economy (2 day)
FedEx Ground 		UPS Ground
Freight Carrier
Delivered
Will Call
8. SHIPPING ACCOUNT NUMBER: Media Fast Other No.:
9. SHIP BLIND: Yes No
10. INNER HUB SHOULD READ: (27 characters max.)
11. ARRIVAL DATE FOR:
 

a. Master:       
b. Copyright:  
c. Film:           
d. Art Disc:     
e. Color Proof:
f. Jewel Case Inserts: (if applicable)
g. Sleeves:                 (if applicable)
h. Other:                    (if applicable)

12. ORDER QUANTITY:
13. OVERAGE OR OVERRUNS: Yes No    If yes, what percent ?
14. MOLD TYPE (choose one): Full Round Standard Full Round Seamless
          50 MB Business Card Other
15. NUMBER OF COLORS (flood counts as one color):
16. FLOOD BACK GROUND:
          Yes No (if Yes, what color?)

17. PACKAGING:
Bulk Spindle
Jewel Case (choose specific tray color): Black Clear White
Overwrap
Shrinkwrap
Wafer Seal (Mylar Tab)
Paper Sleeve (with window and flap)
Tyvek Sleeve (with window and flap)
C-Shells

18. PACKAGING SUPPLIED BY (choose one): Customer Media Fast

19. SPECIAL INSTRUCTIONS:


 

Customer Signature:

Date:

Please print out the completed form and add signature and date to the document.
 
P.O. Box 712 Lehi, UT 84043 (office) 801-756-8890 (fax) 801-756-0707