City of Victoria Form Center

2. NAME*
3. TODAY'S DATE*
   TODAY'S DATE
5. LOCATION*
   -- Select One --CITY OF VICTORIAVICTORIA COUNTY
7. DEPARTMENT LIST*
   -- Select One --01POL1-911 CenterTejas Fest45BRU-Brush & Bulky51BUI-Building Services32PLA21-CDBG01MGR-City Manager01SEC-City Secretary01INS1-Code Enforcement43CTR-Community Center67CVB-CVB51CUS-Custodial01DEV-Development Services66CIV-Emergency Management01ENG-Engineering41ENV-Environmental Services45ADM-Environmental Admin01FIN-Finance01FIRE-Fire01GIS-GIS19GOLF-Golf01HUM-Human Resources52INF-IT01INS-Inspections01LEG-Legal01LIB-Library064MSP-Main Street01MUN-Municipal Court01PAR-Parks Administration45ROW-Parks ROW01PLA-Planning01POL-Police41PRE-Pretreatment57PRT-Print Shop01PIO-Public Information/ Communications54PUR-Purchasing45RCY-Recycling51VES-Service Center45SOL-Solid Waste01STR-Street01TRA-Traffic Control41UBO-UBO41WST- Wastewater41WWP-Wastewater Treatment Plant41WAT-Water41PLT-Water Plant45YRD- Yard Waste
9. COUNTY LIST*
   -- Select One --078 - Veteran Services079 - Animal Control080 - District Attorney081 - Constable #2082 - County Clerk083 - Constable #4084 - District Clerk085 - Elections Administration086 - VCCPHD-Environmental087 - VCCPHD-Health/Nursing088 - JP #1089 - JP #2090 - JP #3091 - JP #4092 - Juvenile Detentions093 - Juvenile Probation094 - Juvenile Services095 - Precinct #1096 - Precinct #2097 - Precinct #3098 - Precinct #4099 - Sheriff's Office100 - W.I.C.
11. EMAIL*
12. PHONE NUMBER*
14. DATE NEEDED BY*
    DATE NEEDED BY

    All Print Jobs Have A Two (2) Week Lead Time

16. TYPE OF PAPER PRODUCT*
    -- Select One --CardstockCopy PaperSpecial Xerox Copy Paper Bold #28Classic Laid Writing #24 (Letterhead)Astrobright Color Copy Paper #24Astrobright Color Cardstock #65 Door HangersKromekote Glossy Coated (Ex. Birthday Cards)NCR Paper (Must be Padded)Adhesive Fluorescent Paper Adhesive White Pressure Sensitive PaperEnvelopes
18. ADHESIVE FLOURSCENT PAPER*
    -- Select One --GreenOrangeRedRe-Entry Red
20. ASTROBRIGHT 24# PAPER COLOR*
    -- Select One --Celestial BlueLift- Off LemonTerra GreenTerrestrial TealPulsar Pink
21. ASTROBRIGHT 65# PAPER COLOR*
    -- Select One --Galaxy GoldGamma GreenLunar BlueTerra Green
23. COPY PAPER*
    -- Select One --Regular Copy Paper: 8 1/2 x 11Regular Copy Paper: 8 1/2 x 14Regular Copy Paper: 11 x 17Green Copy Paper: 8 1/2 x 11Pink Copy Paper: 8 1/2 x 11Blue Copy Paper: 8 1/2 x 11Yellow Copy Paper: 8 1/2 x 11
24. CARDSTOCK*
    -- Select One --Lynx Cardstock 80 lb. - 8 1/2 x 11Lynx Cardstock 80lb - 11 x 17Lynx Cardstock 100 lb. (Business Cards) - 8 1/2 x 11
26. DOOR HANGERS
    -- Select One --Door Hangers (3UP) 8 1/2 x 11 Door Hangers (3UP) 8 1/2 x 14
28. DOOR HANGER COLORS*
    -- Select One --WhiteGreenYellow (Out of Stock)
30. DOOR HANGER COLOR 8 1/2 x 14*
    -- Select One --WhiteYellowRed
32. ENVELOPES*
    -- Select One --#10 Window Envelopes#10 Regular EnvelopesCoin Envelopes 3 1/8 x 5 1/2#10 Classic Laid Specialty Envelopes6x9 White Kraft Envelopes6x9 Brown Kraft Envelopes (No Clasp)

    *Please Note* All #10 Envelopes must be printed in black ink. 

34. NCR PAPER (No Carbon Required) *
    -- Select One --2 Part NCR 8 1/2 x 11 (White & Yellow)3 Part NCR 8 1/2 x 11 (White, Yellow, & Pink)4 Part NCR 8 1/2 x 11 (White, Yellow, Pink, & Golden)5 Part NCR 8 1/2 x 11(White, Green, Yellow, Pink, & Golden)2 Part NCR 8 1/2 x 14 (White & Yellow)3 Part NCR 8 1/2 x 14 (White, Yellow, & Pink)

    Must Be Padded!

36. PRINT TYPE*

    1. Color
    2. Grayscale/ Black & White
    3. Single Sided
    4. Double Sided
    5. 3-Hole Punch
    6. Staple

    Select All That Apply

38. SERVICES PROVIDED*
    -- Select One --Printing OnlyBusiness CardsPadding (NCR Paper Must Be Padded)Hole PunchFolding

    Please Select Service

40. FOLDING TYPE*

    1. Half-Fold (booklet or flyer)
    2. Tri-Fold (brochure)
42. HOLE PUNCH TYPE

    1. 3-Hole Punch
    2. Single Drill
44. STAPLE LOCATION

    1. Top Corner, single
    2. Center, double (booklets)
46. QUANTITY*
48. UPLOAD FILE FOR PRINT
50. ADDITIONAL COMMENTS
52. **The following will be completed at pickup. **
54. Name (Print)
56. Signature
58. Pickup Date
Leave This Blank:


60. 1. Receive an email copy of this form.
61. Email address

    This field is not part of the form submission.

62. Submit

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