David Nichols '70 was named the 2006 Country Doctor of the Year for his work on Tangier Island, an isolated community located in the middle of the Chesapeake Bay.

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(*) - Required fields

PUBLICATIONS REQUEST FORM

HWS Office of Communications - Design
All fields with * are required
Don't forget to upload any photos at the bottom of this form

*REQUESTOR NAME:

Ext.:

*REQUESTOR EMAIL ADDRESS:


*PUBLICATION: (describe)


Purpose:

Audience:

TIMETABLE:

 

(Click here for deadline information)
(minor changes - mark up existing copy and attach)
(major changes/new job - please provide
text/photos/graphics via e-mail attachment at bottom of this form
)


*Quantity:

*Delivery Due Date:

*Delivery Location:

 

CONSIDERATIONS:

 


SPECIFICATION:
(choose one)

Reprint as is Revised New

 

*FORMAT:
(i.e. flyer, brochure, poster, etc.)

Printing method:

Photocopy
Commercial Printer

Mailing requirements:

Mail Class: 1st 3rd
Indicia: with without
Self Mailer Envelope

Size:

One color / Two color / Multi:

Paper:

Other:

   

INFORMATION: (use this space to write particulars about event, publication, etc..)

E-mail attachments: Please click here to e-mail any attachments such as MS Word files, .jpg photo/graphic files, .tif photo/graphics files that you would like us to use in the production of your request above.

 
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