Business Card Request Form

Business Card Request Form

Please complete the following form to request business cards. The cards will be designed by Maya Muller in the Effectiveness & College Relations office. Please contact her with any questions.
Requestor Information
Requestor's Name*
Requestor's Email Address*
example@example.com
Card Information

Use the following fields to enter the information that will be printed on your business cards.
Name on Card*
Email Address on Card*
example@example.com
Title on Card
Office Phone Number on Card*
Please enter a valid phone number.
Fax Number on Card
Please enter a valid phone number.
Would you like to add additional lines?*

YesNo
Additional Line 1
Additional Line 2
Due to the size and formatting of business cards, there is a limit of 2 additional lines possible.

Confirm Information

Please confirm the information you entered is correct. Corrections cannot be made once your cards are sent to the printer.
Name*
Email Address*
example@example.com
Title
Office Phone Number*
Please enter a valid phone number.
Fax Number
Please enter a valid phone number.
Additional Line 1
Additional Line 2
The card information listed above is correct:*

Yes

Additional Information

Finally, please let us know the budget number and order quantity.
Budget Number
Print Code*
Quantity*
Comments
Lower Columbia College does not discriminate on the basis of sex and prohibits sex discrimination in any education program or activity that it operates, as required by Title IX, including in admission and employment. Lower Columbia College provides equal opportunity in education and employment and does not discriminate on the basis of race, color, national origin, citizenship or immigration status, age, perceived or actual physical or mental disability, pregnancy, genetic information, sex, sexual orientation, gender identity, marital status, creed, religion, veteran or military status, or use of a trained guide dog or service animal as required by Title VI of the Civil Rights Act of 1964, Title VII of the Civil Rights Act of 1964, Title IX of the Educational Amendments of 1972, Sections 504 and 508 of the Rehabilitation Act of 1973, the Americans with Disabilities Act and ADA Amendment Act, the Age Discrimination Act of 1975, the Violence Against Women Reauthorization Act and Washington State's Law Against Discrimination, Chapter 49.60 RCW and their implementing regulations. All inquiries regarding compliance with Title IX, access, equal opportunity and/or grievance procedures should be directed to Vice President of Foundation, HR & Legal Affairs, 1600 Maple Street, PO Box 3010, Longview, WA 98632, title9@lowercolumbia.edu, Phone number, (360) 442-2120, Phone number/TTY (800) 833-6388. The notice of nondiscrimination is located at https://lowercolumbia.edu/disclosure/non-discrimination/.
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Business Card Request Form

Requestor Information

Card Information

Confirm Information

Additional Information