Art Guild Binders, Inc. 800-344-0278 - fax 513-242-3004 1068 Meta Drive Cincinnati, OH 45237 Student Thesis Binding Order Form Cost: $40.00 Per Copy (for two or more copies) $60.00 (for single copy only) Quantity: ________ x $40.00 =_____________ Name:____________________________________ (If not providing a printed copy, please email a text copy PDF file of your thesis and the number of thesis needed and an exact price will be provided.) Setup Fee for PDF File x $15.00 = ____________ Address:__________________________________ _____ B&W Copies Made x .11 = ____________ _____ Color Copies Made x .85 = ____________ *Standard Shipping & Handling* = $30.00 Address2:_________________________________ Additional Freight = ____________ Subtotal = ____________ City:_____________________________________ 6.75% Sales Tax = _____________ State:____________ Zip Code:________________ Total = _____________ Phone Number: ( ) ________-_____________ * Actual Shipping and Handling rate will be quoted at time of order. Method of Payment (Please Circle One) Visa Mastercard American Express Personal Check Credit Card Number:_______________________________ Expiration Date(MM/YY)________________ Name of Cardholder:_____________________________________________________________________ Signature:______________________________________________________________________________ By signing this agreement, the cardholder authorizes Art Guild Binders, Inc. to charge the aforementioned credit card in the amount stated above plus a 3% credit card fee. Please Call or email us about specifics for Spine and Front Cover Stamping info@artguildbinders.com *This is what is used in production as a proof, Please verify accuracy.* UPS CAN NOT SHIP TO P.O. BOXES OR INTERNATIONAL ADDRESSES