Business Card Request

• Name (Be sure to use your given name, not a nickname.)

  Name (Be sure to use your given name, not a nickname.) First Last
• Program, School, or Department *
• Professional Title (Professor, Instructor, Staff Assistant, etc.) *
• Suffix (when appropriate; DVM, RN, LAHT)
• Delhi Email Address *
• My Office is located: *
  My Office is located:

  On Campus Remote Location
• Building *
• Room Number *
• Remote Office Location - use main department address *
• Office Phone

  Office Phone * - ### - ### ####
• Quantity Needed *
  Quantity Needed

  20 40 80 100 120 140 160 180 200
• I understand that due to current budget restraints, prior to the Marketing Office processing any orders that have an associated cost of any amount, I will be required to do the following:
  
  • Forward Cabrina Simmons (simmoncp@delhi.edu) an email acknowledging approval from your academic dean or area vice president for the request.
  
  • Complete a Purchase Requisition Request Form from the budget office (link above).
  
  • Acknowledge that the Marketing Office must wait until they receive both the approval email from my dean/vice president, and the email confirmation of approval from the budget office, before processing this request. *
  I understand that due to current budget restraints, prior to the Marketing Office processing any orders that have an associated cost of any amount, I will be required to do the following:
  
  • Forward Cabrina Simmons (simmoncp@delhi.edu) an email acknowledging approval from your academic dean or area vice president for the request.
  
  • Complete a Purchase Requisition Request Form from the budget office (link above).
  
  • Acknowledge that the Marketing Office must wait until they receive both the approval email from my dean/vice president, and the email confirmation of approval from the budget office, before processing this request.

  I have done all of the above
• Account Number (For billing purposes - will not appear on the business card.) *