Printing Authorization (Form must contain original signatures)

I. To be completed by the author:
Title:  Pub. No.
Senior Author:   Dept.
Classification:
Publication (PB) New   Account No:
Factsheet (SP) Reprint   Account Name:
Web-only (W) Revision  
Program Camera-ready copy attached
Form    
Other    

Quantity requested:   Date needed:
Purpose:

Author's signature: ____________________________________ Date:_______________

II. Approval by department head:
History: None Last printed:  Date:  Quantity printed:
Quantity on hand:   Estimated printing costs:

Dept. head's signature: ___________________________________ Date:_____________

III. To be completed by publications editor:
Specifications:
Size:   Paper:
Format:   Binding:
No. of pages (approx.):  Illustrations:
Inks:  Photos:
Comments:

Pub. Editor's signature: __________________________________ Date:_______________


ADMF-76