Copy Request Form

<!DOCTYPE html> <html class="msie msie7" id="redesigned-theme-2018" lang="en"> <head> <title> Copy Request Form </title>  <meta charset="utf-8"> <meta name="generator" content="Wufoo"> <meta name="robots" content="index"> <meta name="viewport" content="width=device-width, initial-scale=1">  <script src="https://cdn.signalfx.com/o11y-gdi-rum/latest/splunk-otel-web.js" crossorigin="anonymous"></script> <script> SplunkRum.init({ beaconUrl: 'https://rum-ingest.us1.signalfx.com/v1/rum', rumAuth: 'zQDdp67Bj5femMun0rlk_w', app: 'wufoo_web', environment: 'prod', instrumentations: { errors: true }, tracer: { sampler: new SplunkRum.SessionBasedSampler({ ratio: 0.1 }), }, }); </script>  <meta property="twitter:card" content="summary"/> <meta property="twitter:site" content="@Wufoo"/> <meta property="og:url" content="https://ugagwinnett.wufoo.com/forms/rpli5nz1lo0uya/"/> <meta property="og:type" content="website"/> <meta property="og:title" content="Copy Request Form"/> <meta property="og:description" content="Note: Three business days are required to process requests. 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All copies are made on standard-weight white paper.</div> </header> <ul> <li id="fo4li130" class=" "> <fieldset> <![if !IE | (gte IE 8)]> <legend id="title130" class="desc notranslate"> Print or digital? <span id="req_130" class="req">*</span> </legend> <![endif]>  <div> <input id="radioDefault_130" name="Field130" type="hidden" value="" /> <span> <input id="Field130_0" name="Field130" type="radio" class="field radio" value="I want paper copies" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" checked="checked" required /> <label class="choice" for="Field130_0" > <span class="choice__text notranslate">I want paper copies</span> <span class="choice__qty"> </span> </label> </span> <span> <input id="Field130_1" name="Field130" type="radio" class="field radio" value="I don't want to use paper. I want to upload to eLC or email the file to students. Help!" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required /> <label class="choice" for="Field130_1" > <span class="choice__text notranslate">I don't want to use paper. I want to upload to eLC or email the file to students. Help!</span> <span class="choice__qty"> </span> </label> </span> </div> </fieldset> </li> <li id="fo4li2" class="date notranslate "> <label class="desc" id="title2"> Date copies needed <span id="req_2" class="req">*</span> </label> <span> <input id="Field2-1" name="Field2-1" type="text" class="field text" value="" size="2" maxlength="2" tabindex="0" onkeyup="handleInput(this);" onchange="handleInput(this);" required /> <label for="Field2-1">MM</label> </span> <span class="symbol">/</span> <span> <input id="Field2-2" name="Field2-2" type="text" class="field text" value="" size="2" maxlength="2" tabindex="0" onkeyup="handleInput(this);" onchange="handleInput(this);" required /> <label for="Field2-2">DD</label> </span> <span class="symbol">/</span> <span> <input id="Field2" name="Field2" type="text" class="field text" value="" size="4" maxlength="4" tabindex="0" onkeyup="handleInput(this);" onchange="handleInput(this);" required /> <label for="Field2">YYYY</label> </span> <span id="cal2"> <img id="pick2" class="datepicker" src="https://static.wufoo.com/images/icons/calendar.png" alt="Pick a date." data-date-format="yyyy-mm-dd" data-date="today" /> </span> </li> <li id="fo4li4" class="notranslate "> <label class="desc" id="title4"> Professor name <span id="req_4" class="req">*</span> </label> <span> <input id="Field4" name="Field4" type="text" class="field text fn" value="" size="8" tabindex="0" onkeyup="handleInput(this);" onchange="handleInput(this);" placeholder="" required /> <label for="Field4">First</label> </span> <span> <input id="Field5" name="Field5" type="text" class="field text ln" value="" size="14" tabindex="0" onkeyup="handleInput(this);" onchange="handleInput(this);" placeholder="" required /> <label for="Field5">Last</label> </span> </li> <li id="fo4li117" class="notranslate "> <label class="desc" id="title117" for="Field117"> Email <span id="req_117" class="req">*</span> </label> <div> <input id="Field117" name="Field117" type="email" spellcheck="false" class="field text medium" value="" maxlength="255" tabindex="0" onkeyup="handleInput(this);" onchange="handleInput(this);" placeholder="" required /> </div> </li> <li id="fo4li6" data-wufoo-field data-field-type="text" class="notranslate "> <label class="desc" id="title6" for="Field6"> School/College <span id="req_6" class="req">*</span> </label> <div> <input id="Field6" name="Field6" type="text" class="field text medium" value="" maxLength="255" tabindex="0" onkeyup="handleInput(this); " onchange="handleInput(this);" required placeholder="" /> </div> </li> <li id="fo4li7" data-wufoo-field data-field-type="text" class="notranslate "> <label class="desc" id="title7" for="Field7"> Department <span id="req_7" class="req">*</span> </label> <div> <input id="Field7" name="Field7" type="text" class="field text medium" value="" maxLength="255" tabindex="0" onkeyup="handleInput(this); " onchange="handleInput(this);" required placeholder="" /> </div> </li> <li id="fo4li12" data-wufoo-field data-field-type="text" class="notranslate "> <label class="desc" id="title12" for="Field12"> How many copies needed? <span id="req_12" class="req">*</span> </label> <div> <input id="Field12" name="Field12" type="text" class="field text small" value="" maxLength="255" tabindex="0" onkeyup="handleInput(this); " onchange="handleInput(this);" required placeholder="" /> </div> </li> <li id="fo4li122" data-wufoo-field data-field-type="text" class="notranslate "> <label class="desc" id="title122" for="Field122"> Your department's copy code </label> <div> <input id="Field122" name="Field122" type="text" class="field text medium" value="" maxLength="255" tabindex="0" onkeyup="handleInput(this); " onchange="handleInput(this);" placeholder="" /> </div> <p class="instruct" id="instruct122"> <small>If you have it, please enter your department's Gwinnett Campus copy code. Your business manager can provide you with this code.</small> </p> </li> <li id="fo4li126" class=" "> <fieldset> <![if !IE | (gte IE 8)]> <legend id="title126" class="desc notranslate"> NEW! Black & white or color? <span id="req_126" class="req">*</span> </legend> <![endif]>  <div> <input id="radioDefault_126" name="Field126" type="hidden" value="" /> <span> <input id="Field126_0" name="Field126" type="radio" class="field radio" value="B&W (3.5¢/page)" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" checked="checked" required /> <label class="choice" for="Field126_0" > <span class="choice__text notranslate">B&W (3.5垄/page)</span> <span class="choice__qty"> </span> </label> </span> <span> <input id="Field126_1" name="Field126" type="radio" class="field radio" value="Color (7¢/page)" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required /> <label class="choice" for="Field126_1" > <span class="choice__text notranslate">Color (7垄/page)</span> <span class="choice__qty"> </span> </label> </span> </div> </fieldset> </li> <li id="fo4li127" class=" "> <fieldset> <![if !IE | (gte IE 8)]> <legend id="title127" class="desc notranslate"> Single or double-sided? <span id="req_127" class="req">*</span> </legend> <![endif]>  <div> <input id="radioDefault_127" name="Field127" type="hidden" value="" /> <span> <input id="Field127_0" name="Field127" type="radio" class="field radio" value="Single-sided" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" checked="checked" required /> <label class="choice" for="Field127_0" > <span class="choice__text notranslate">Single-sided</span> <span class="choice__qty"> </span> </label> </span> <span> <input id="Field127_1" name="Field127" type="radio" class="field radio" value="Double-sided" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required /> <label class="choice" for="Field127_1" > <span class="choice__text notranslate">Double-sided</span> <span class="choice__qty"> </span> </label> </span> </div> </fieldset> </li> <li id="fo4li128" class=" "> <fieldset> <![if !IE | (gte IE 8)]> <legend id="title128" class="desc notranslate"> Stapled? <span id="req_128" class="req">*</span> </legend> <![endif]>  <div> <input id="radioDefault_128" name="Field128" type="hidden" value="" /> <span> <input id="Field128_0" name="Field128" type="radio" class="field radio" value="No" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" checked="checked" required /> <label class="choice" for="Field128_0" > <span class="choice__text notranslate">No</span> <span class="choice__qty"> </span> </label> </span> <span> <input id="Field128_1" name="Field128" type="radio" class="field radio" value="Top-left corner" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required /> <label class="choice" for="Field128_1" > <span class="choice__text notranslate">Top-left corner</span> <span class="choice__qty"> </span> </label> </span> <span> <input id="Field128_2" name="Field128" type="radio" class="field radio" value="2 on left-side" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required /> <label class="choice" for="Field128_2" > <span class="choice__text notranslate">2 on left-side</span> <span class="choice__qty"> </span> </label> </span> <span> <input id="Field128_3" name="Field128" type="radio" class="field radio" value="Stapleless staple (5 pages or less)" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required /> <label class="choice" for="Field128_3" > <span class="choice__text notranslate">Stapleless staple (5 pages or less)</span> <span class="choice__qty"> </span> </label> </span> </div> </fieldset> </li> <li id="fo4li129" class=" "> <fieldset> <![if !IE | (gte IE 8)]> <legend id="title129" class="desc notranslate"> Paper size <span id="req_129" class="req">*</span> </legend> <![endif]>  <div> <input id="radioDefault_129" name="Field129" type="hidden" value="" /> <span> <input id="Field129_0" name="Field129" type="radio" class="field radio" value="8 1/2" x 11" (standard)" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" checked="checked" required /> <label class="choice" for="Field129_0" > <span class="choice__text notranslate">8 1/2" x 11" (standard)</span> <span class="choice__qty"> </span> </label> </span> <span> <input id="Field129_1" name="Field129" type="radio" class="field radio" value="8 1/2" x 14" (legal)" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required /> <label class="choice" for="Field129_1" > <span class="choice__text notranslate">8 1/2" x 14" (legal)</span> <span class="choice__qty"> </span> </label> </span> </div> </fieldset> </li> <li id="fo4li114" class=" "> <fieldset> <![if !IE | (gte IE 8)]> <legend id="title114" class="desc notranslate"> Do you want to collect copies at the front desk? <span id="req_114" class="req">*</span> </legend> <![endif]>  <div> <input id="radioDefault_114" name="Field114" type="hidden" value="" /> <span> <input id="Field114_0" name="Field114" type="radio" class="field radio" value="Yes" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" checked="checked" required /> <label class="choice" for="Field114_0" > <span class="choice__text notranslate">Yes</span> <span class="choice__qty"> </span> </label> </span> <span> <input id="Field114_1" name="Field114" type="radio" class="field radio" value="No" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required /> <label class="choice" for="Field114_1" > <span class="choice__text notranslate">No</span> <span class="choice__qty"> </span> </label> </span> </div> </fieldset> </li> <li id="fo4li115" class="notranslate "> <label class="desc" id="title115" for="Field115"> Additional instructions </label> <div> <textarea id="Field115" name="Field115" class="field textarea small" spellcheck="true" rows="10" cols="50" tabindex="0" onkeyup="handleInput(this); validateRange(115, 'character');" onchange="handleInput(this);" placeholder="" ></textarea> </div> </li> <li id="fo4li113" class="notranslate " > <label class="desc" id="title113" for="Field113"> Attach a File 1 <span id="req_113" class="req">*</span> </label> <div> <input id="Field113" name="Field113" type="file" class="field file" size="12" data-file-max-size="25" tabindex="0" required data-wufoo-field="file-upload" /> </div> </li> <li id="fo4li119" class="notranslate " > <label class="desc" id="title119" for="Field119"> Attach a File 2 </label> <div> <input id="Field119" name="Field119" type="file" class="field file" size="12" data-file-max-size="10" tabindex="0" data-wufoo-field="file-upload" /> </div> </li> <li id="fo4li120" class="notranslate " > <label class="desc" id="title120" for="Field120"> Attach a File 3 </label> <div> <input id="Field120" name="Field120" type="file" class="field file" size="12" data-file-max-size="10" tabindex="0" data-wufoo-field="file-upload" /> </div> </li> <li class="buttons "> <div> <input type="hidden" name="currentPage" id="currentPage" value="W6tRw48PvjZfrhw3eyC9COFvI5gskYFfz0Jup7KdHLA=" /> <input id="saveForm" name="saveForm" class="btTxt submit" type="submit" value="Submit" onmousedown="doSubmitEvents();" /> </div> </li> <li class="hide"> <label for="comment">Do Not Fill This Out</label> <textarea name="comment" id="comment" rows="1" cols="1"></textarea> <input type="hidden" id="idstamp" name="idstamp" value="oduJazdISGSwSdKrrb2Gng==" > <input type="hidden" id="encryptedPassword" name="encryptedPassword" value="" > <input type="hidden" id="grcToken" name="grcToken" value="" data-site-key="6LeASGocAAAAADj3Vpi-QsmxJutvYUg4DQcU-MNB" > <input type="hidden" id="stats" name="stats" value="{"errors":0,"startTime":0,"endTime":0,"referer":null}" > <input type="hidden" id="clickOrEnter" name="clickOrEnter"> </li> </ul> </form> <div class="recaptcha-text"> This site is protected by reCAPTCHA Enterprise and the Google <a href="https://policies.google.com/privacy">Privacy Policy</a> and <a href="https://policies.google.com/terms">Terms of Service</a> apply. </div> </div>   <script src="https://static.wufoo.com/scripts/public/dynamic.0718.js?language=english"></script> <script> __RULES = []; __ENTRY = []; __PRICES = null; __FORM_LIMIT = 100; __SHOW_BRANDING = false; </script> <script src="https://static.wufoo.com/assets/js/themes/redesigned-theme-2018.js"></script> </body> </html>

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Copy Request Form