Business Card Request

Name to be printed on your business card: *

Degree (Optional)

Title *

Office/department location *

Iron Horse Lodge (111 University Parkway, Suite 100) Iron Horse Lodge (111 University Parkway, Suite 201) Iron Horse Lodge (111 University Parkway, Suite 202) Butler-Haney Hall (200 University Parkway) University Conference Center (3200 Inspiration Drive) Watson Hall (200 University Parkway) Other (please list in text box that follows):

If out of town, please provide address for cards to be mailed to:

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

If you are under a COM department please select:

COM Department

If you check Iron Horse Lodge, the address printed on your business card will be:

111 University Parkway, Suite 202

Yakima, WA 98901

If you check Butler-Haney Hall or Watson Hall, the address printed on your business card will be:

200 University Parkway

Yakima, WA 98901

If you check University Conference Center, the address printed on your business card will be:

3200 Inspiration Drive

Yakima, WA 98901

If you check Other, please include your PNWU business address below.

Additional Information - Please list below any additional information or address you would like on your business card.

Phone - Office

Area Code Phone Number

Phone - Cell (optional)

Area Code Phone Number

Phone - Fax

Area Code Phone Number

E-mail *

Number of business cards requested *

Department/office budget director approving this request: *

Cost Center *

INFORMATION FOR DEPARTMENT BUDGET DIRECTOR:

The cost for PNWU business cards as of 2015:

Cost per number of cards: (includes tax)

50 $ 26.61

100 $ 29.81

200 $ 36.21

250 $ 39.42

300 $ 42.62