ICE Directive 1036.1, CBP Form 205: Certificate Order Form for ICE Directive 1036.1

DEPARTMENT OF HOMELAND SECURITY U.S.

Customs and Border Protection REQUEST FOR GRAPHICS AND PRINTING SERVICES Customs Directive 21 10-07 1. Today's Date 2. Delivery Date 3. Point of Contact 4.

Telephone No. 5. Fax No. 6. Alternate Point of Contact and Telephone Number 7. Requesting Office Name Ext.

8. Service Required Graphic Design Services Printing Services Mail to: U.S. Customs and Border Protection Printing, Graphics & Distribution Branch Room 3.2-C 1300 Pennsylvania Avenue, NW Washington, DC 20229 CBP DHS HQ ICE Street Address: Room/Suite: City: Email Address: 9. Title or Product Description 10. Furnished Materials State: ZIP Code: Hard/Camera Copy GPO Form 952 Other (See Item 18) Electronic Media Type 11.

Publication Design Cover GRAPHICS SERVICES Poster PRINTING AND REPRODUCTION SERVICES Mounting Flyer (CD - ROM, Zip, Floppy) Other (See Item 19) 12. Quantity 13. No. of Pages 14. Print 15.

Paper and Ink Color Text Paper Text Ink: Color Cover Paper Cover Ink: Color 17. Tabs: Yes No 18. Proofs required Yes 19. Additional Information/Instructions One-sided Two-sided 16.

Binding Saddle Tape Spiral Pads/ Side GBC (comb) 3-Hole Punch One Staple Upper Left Perfect Bound Looseleaf Sheets per pad w/cardboard Shrinkwrap/ per wrap Blk Blk No 20. Approval Signature and Title: (Division Director or above) 21. Distribution Requesting Office Call for Pickup CBP Distribution List Distribution List Attached Printing Specialist NOTE: Items highlighted in red must be filled in. Publishing Team Use Only Product Code Estimate $ Actual $ CBP Form 205 (08/08) REL0000021456