Please use this form to create a charge for students only. Faculty and staff, please use the IDT form to charge to your department. You must have JavaScript enabled to use this form. Date of Purchase Date of Purchase: Date Date of Purchase: Time Student Student Last Name First Name Rice Email Student ID? S Do not type 's' here. First digit is likely 0. Poster Printing Poster Quantity 1 Width 1 Height 1 Ink Type 1 line or text text or line drawing text and image < 50% ink coverage image > 50% ink coverage Paper Type 1 Gloss Poster Canvas Poster Total amount for all Poster(s) of kind 1 $ Poster Quantity 2 Width 2 Height 2 Ink Type 2 line or text text or line drawing text and image < 50% ink coverage image > 50% ink coverage Paper Type 2 Gloss Poster Canvas Poster Total amount for all Poster(s) of kind 2 $ Poster Quantity 3 Width 3 Height 3 Ink Type 3 line or text text or line drawing text and image < 50% ink coverage image > 50% ink coverage Paper Type 3 Gloss Poster Canvas Poster Total amount for all Poster(s) of kind 3 $ Regular Printing Print Quantity 1 Print Type 1 Black&White Color Simplex Color Duplex Print Size 1 Letter 8.5x11 Tabloid 11x17 Total amount for all Print(s) of kind 1 $ Print Quantity 2 Print Type 2 Black&White Color Simplex Color Duplex Print Size 2 Letter 8.5x11 Tabloid 11x17 Total amount for all Print(s) of kind 2 $ Print Quantity 3 Print Type 3 Black&White Color Simplex Color Duplex Print Size 3 Letter 8.5x11 Tabloid 11x17 Total amount for all Print(s) of kind 3 $ I hereby authorize Fondren Digital Media Commons to add the charge for purchase described above to my student account. I understand that these charges are non-standard, non-institutional charges and cannot be automatically paid using Federal Financial Aid funds that I may receive. I understand that if charges are not paid-in-full by the billing due date of my student account, late charges will apply, transcripts and degrees will be held, and future enrollment at Rice may be blocked until all charges are paid. Do you agree with the charge authorization terms? * I agree Assisting DMC Staff Initials Password Required to Submit Form Submit Reset