Online Request Form at Journals Direct.net - Journals, Memo Pads, Autograph books, and Pad Covers.

Price Quote - please fill out the form below and provide as much
information as possible in order for our company to give you the most accurate price quote.
Call 800.310.2723 to speak to our custom service department or fill out the form below.

Please check all items below that best fits your needs:

Select Size of Journal:	9" x 12" 8 1/2" x 11" 6" x 8 1/2" 5 1/2" x 8 1/2"
5" x 8" 5" x 7"	4" x 6" 3 1/4" x 6 1/4" 2" x 3 1/2" Other

Type of Cover Board:
Standard
Premium
Clear-Poly
Printed-Poly
Mounted Full-Color
Leather
Casebound
Other

Color of Cover:
White
Black
Blue
Red
Yellow
Green
Full-Color
Other Color

Quantity of Journals:
Less than 25
26 to 50
51 to 100
150
250
500
1000
Other Amount

# of Pages in Journal:
Color of Foil Stamp:
Type of Pages:

Company Name (if applicable):

Contact Person:

Mailing Address:

City/State/ZipCode:

Phone Number (Area Code):

Fax Number (Area Code):

Email Address:

Company Website:

How did you hear about us?:

Please provide any
other detailed information
concerning this order request

Check all that apply: Yes, I would like to receive a price quote
Check here if you want more information about our prices
Check here if you want more information about our products

USA Custom Pad Corp.
16 Winkler Road
Sidney, NY 13838
Phone: 607.563.9550
Toll-Free: 800.310.2723
Fax: 607.563.9553