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2. Submitter's First Name*
3. Submitter's Last Name*
5. Department Name*
7. Envelope Sample Image
   
9. Envelope Layout Standards

   The procurement process has established a design for Miami County envelopes. 

   Departments with a department logo preapproved by the County Administrator may be allowed to use their logo instead of the county logo. Requests for department envelopes must be submitted to the purchasing department.

   Envelopes must contain the following employee information:
   Icon 1: Navy background, white building
   Miami County (Department Name)
   Office mailing address

11. Information below must be completed for submission and approval of Envelope Orders
13. Complete with funding source for this order:*
15. Department Title*
17. Elected Official Name

    If the department head or elected official would like their name on the envelope, please insert their name here, as it should be printed. 

19. Office Address *
21. Office Address 2
23. City*
24. State*
25. Zip*
27. Envelope Order Options

    Select the quantity and style preference in the drop-down below. If you prefer a different style than the #10 envelopes or options below, contact purchasing with your request for alternative sizes or options. 

    Multiple quantities may be selected. 

29. #10 with Standard Gum and No Tint
    -- Select One --Regular (Qty 500)Regular (Qty 1000)Regular (Qty 1500)Regular (Qty 2000)Regular (Qty 2500)Window (Qty 500)Window (Qty 1000)Window (Qty 1500)Window (Qty 2000)Window (Qty 2500)

    You must select quantity and style in the drop-down menu if this is the style preferred.

    
    

30. #10 Standard Gum with Tint
    -- Select One --Regular (Qty 500)Regular (Qty 1000)Regular (Qty 1500)Regular (Qty 2000)Regular (Qty 2500)Window (Qty 500)Window (Qty 1000)Window (Qty 1500)Window (Qty 2000)Window (Qty 2500)

    You must select quantity and style in the drop-down menu if this is the style preferred.

32. $10 Peel and Seal with No Tint
    -- Select One --Regular (Qty 500)Regular (Qty 1000)Regular (Qty 1500)Regular (Qty 2000)Regular (Qty 2500)Window (Qty 500)Window (Qty 1000)Window (Qty 1500)Window (Qty 2000)Window (Qty 2500)

    You must select quantity and style in the drop-down menu if this is the style preferred.

    
    

33. #10 Peel and Seal with Tint
    -- Select One --Regular (Qty 500)Regular (Qty 1000)Regular (Qty 1500)Regular (Qty 2000)Regular (Qty 2500)Window (Qty 500)Window (Qty 1000)Window (Qty 1500)Window (Qty 2000)Window (Qty 2500)

    You must select quantity and style in the drop-down menu if this is the style preferred.

    
    

35. #10 with Latex Seal and Not Tint
    -- Select One --Regular (Qty 2500)Regular (Qty 5000)Regular (Qty 7500)Regular (Qty 10000)Window (Qty 2500)Window (Qty 5000)Window (Qty 7500)Window (Qty 10000)

    You must select quantity and style in the drop-down menu if this is the style preferred.

    Recommended Shelf Life is 6 - 9 months. 

    
    

36. #10 with Latex Seal with Tint
    -- Select One --Regular (Qty 2500)Regular (Qty 5000)Regular (Qty 7500)Regular (Qty 10000)Window (Qty 2500)Window (Qty 5000)Window (Qty 7500)Window (Qty 10000)

    You must select quantity and style in the drop-down menu if this is the style preferred.

    Recommended Shelf Life is 6 - 9 months. 

38. Ink Color Preference*

    1. Black (No Additional Cost)
    2. Navy Blue PMS 289 ($15.00)
40. Pricing

    Pricing will vary depending on current market costs. All requests will have a quote sent to the submitter with a proof for final approval. 

    Total Cost will include per order: 
    * Cost of Envelope Order
    * Ink Charge $15.00 ^{(Only for Navy Blue Ink)}
    * Art Charge $7.50 ^{(Applicable to First Department Order to set up template)}
    * New Plate $12.00 ^{(Applicable to First Department Order to set up template)}

42. Any special requests may be submitted here:
Leave This Blank:


46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit

* indicates a required field