Motor City Imaging -Total Information Mangement

Complete Document and Information Management

Order
Fill out this form and click "Submit" at the bottom to instantly place your order online.
Alternatively, you may also print and fax this completed form to (313) 342-7481.

Contact Information

First Name:
Last Name:
Email address:
Phone Number:
Company Name:
Your Title:

Address 1:

Address 2:

City:

State:

Zip Code:

Shipping Information
Shipping Method:
If "Other" was selected as shipping method, please specify:
Shipping Account Number:
Note: Shipping and handling charges will be applied.

Order Information						Proposals/	Specifications
Letting Date	Item#	#Plans Full	#Plans Half	Contract ID/Job#	Number of pages	Specifications	Number of pages










Note: $25 minimum billing

Addenda Information
Addenda Notification Methods (check and fill in all that apply)
Fax	Fax #
Email	Email address
Special Instructions:

Payment Information
Cash or check
C.O.D.
Motor City Imaging Account
Reprographics One Account
Credit Card:	Card #:	Expiration: Mo: Yr:

By placing initial plan/proposal orders, you will automatically receive and be billed for all revisions and addenda when released by MDOT