Place Order – Imageworx

Proof-Plate-Film Request Form

Step 1 of 2

Job Details
Customer Code*
Customer/Customer Name
Purchase Order
Job Description*
Order Placed By*
Reference Job
- Date Ordered*
  MM slash DD slash YYYY
- Date Proofs Desired
  MM slash DD slash YYYY
- Date Plates Desired
  MM slash DD slash YYYY
Items to Order
Products Needed*
- Proofs & Plates/Film
- Proofs Only
- Plates Only
- Film Only
- Simple Revision to Existing Order
Colors
Add one ink color/plate per line. Please use the + and - buttons to add or remove additional colors from the list.
Colors
Ink Color Number of Plates Common to Job Advanced Screening
Plate/Film Specifications
- Press
- Plate Material Options
- Roll Direction
- Surface/Reverse Print
- Acr. Size*
  Please enter a number greater than or equal to 0.
- Acr. Space
  Please enter a number greater than or equal to 0.
- Acr. Centers
- Acr. Steps
  Please enter a number greater than or equal to 0.
- Acr. Repeat
- Ard. Size*
  Please enter a number greater than or equal to 0.
- Ard. Space
  Please enter a number greater than or equal to 0.
- Ard. Centers
- Ard. Steps
  Please enter a number greater than or equal to 0.
- Ard. Repeat
- Tooth Size
  Please enter a number from 0 to 1000.
- Dist. Factor
  Please enter a number from 85 to 100.
- Number of Plates
  Please enter a number greater than or equal to 0.
Special Instructions
Proofing Options
- Proofs with Plates*
- PDFs
  Please enter a number greater than or equal to 0.
- Color Keys
  Please enter a number greater than or equal to 0.
- Color Epsons
  Please enter a number greater than or equal to 0.
Plate & Film Options
- Stepped Dielines
  Please enter a number greater than or equal to 0.
- Negatives
  Please enter a number greater than or equal to 0.
- Composite Positive
  Please enter a number greater than or equal to 0.
- Hot Stamp
  Please enter a number greater than or equal to 0.
- Positives
  Please enter a number greater than or equal to 0.
- Film Output
- Silk Screen Film Positive
  Please enter a number greater than or equal to 0.
Revision To An Existing Job
Revision Details*
Please remember to include a reference number in the Job Details at the top of this form.
Digital Proof and Shipping Information
Click the + and - buttons to add or remove recipients to the "Ship-to" and "Email" distribution lists.
Ship-to Recipients
Customer Address Attention Items Courier Cust. Acct. #
Email-to Recipients
Recipient Name Recipient Email Address
Upload Zip File
Please compress all documents into one .ZIP file before uploading.
File
Max. file size: 512 MB.

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Ink Color	Number of Plates	Common to Job	Advanced Screening

Customer	Address	Attention	Items	Courier	Cust. Acct. #

Recipient Name	Recipient Email Address

Proof-Plate-Film Request Form

Step 1 of 2

Job Details

Items to Order

Colors

Plate/Film Specifications

Proofing Options

Plate & Film Options

Revision To An Existing Job

Digital Proof and Shipping Information

Upload Zip File