Lassonde Business Card Request Form

Here's the information we will need for the front of your business card:
Full Name*
Exactly as you would like it to appear on your card
Credentials and Certifications
e.g. PhD, PEng, FCAE, etc
Office, Unit or Department*
- Civil Engineering
- Earth & Space Science & Engineering
- Electrical Engineering & Computer Science
- Mechanical Engineering
- Office of the Dean
- Student Welcome & Support Centre
- Bergeron Entrepreneurs in Science & Technology
Primary Role(s)/Position(s)*
e.g. Professor, Associate Professor & Chair, Director ....
Secondary Role(s)/Position(s)
e.g. Research Chair, Institute Director

Contact Information
Phone*
Phone Extension (If applicable)
Email*
This is the email that will appear on your card
Do you need to use an alternate email address?
If your official email address is not active yet or if you'd like to receive your proof at a non-official work email address, check here.
- Yes
Contact Email
The email address where you would like to receive your proof. This may or may not be your official work email address.
Website*
Address*
Room Number and Building Address Address City Postal Code

The back of the Lassonde card give you chance to make it yours. Pick a quote that is personal or one that is relevant to your role.
Quote (Back of Card)
If no quote is provided, area will be filled with Lassonde School of Engineering text treatment. Here are some quotes to get you started.
Quote Attribution

Billing and Delivery Information
Pickup or Delivery?*
Requested Delivery Date
Cards typically take 5-7 business days including approval, production, and delivery
DD slash MM slash YYYY
Delivery Location, On Campus
Delivery Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Card Quantity*
Total (Excluding shipping fees for off campus deliveries)
$ 0.00 CAD
Billing Department/Unit Contact:*

Lassonde Cards