PROJECT REQUEST FORM

Project or Event Name *

REQUESTOR CONTACT INFORMATION

Requestor Name: *

Phone Number *

Please use your @micron email address *

PROJECT DETAILS

Check box if order is needed within less than 12-15 business days:

RUSH

Production time begins once final factory proof has been approved.

In-Hands Date * +

Event Date +

Department *

Approximate Budget *

Quantity *

Delivery Locations (select all that apply) *

United States

Other

Location of Event *

Target Audience/Demographics *

Artwork Details *

Logo/Branding (Vector Artwork Preferred)

Tell us more about your event/project details (Theme, Product Preferences, and/or Restrictions) *

DELIVERY INSTRUCTIONS (IF KNOWN AT THE TIME OF FILLING OUT THIS FORM)

Number of Delivery Locations *

Ship-to ATTN:

Ship-to Address Line 1

Address Line 2

City

State

Zip Code

Ship-to Phone Number

Ship-to Email Address

Please list all delivery locations and shipping addresses and recipient's contact information (that are known at this time) below:

PAYMENT DETAILS

Payment Method *

Purchase Order

Credit Card

TBD

Billing First Name

Billing Last Name

Street Address