Santa Clara University
Postage Mailing Card Order Form

To Be Completed By Department:

Date of Order:	 _____________________________________________________
 
Department Name:   _____________________________________________________
 
Requestor Name:      _____________________________________________________

Account Number:      _____________________________________________________
	(PeopleSoft Account Number)

Speedtype Number: _______________________________________________

Number of Cards Requested:  ___________

Is this a new account?		_____ yes		_____ no

Return To:  (will be labeled on back of card)
   
	Name:  ___________________________________________________

	Dept. or Location:  __________________________________________

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To Be Completed By Mailing Services:

Date of Completion:  __________________

Fax to Mailing Services at x5066 or send via inter-departmental mail.