Name:
Company:
Address:
City, State, Zip:
Phone:
Fax:
Email (required):
Printer Specifics
Type (Dot Matrix, Laser, Thermal Transfer, Direct Thermal, Other)
Make & Model
Material & Printing
Material (EDP, Direct Thermal, Thermal Transfer, Tag, Poly, Other)
Adhesive (Permanent, Removable, Freezer, High Temperature, other)
Laminate (To protect printing)
Type (Floodcoat, Screen, Timing Mark, Static printing)
Number of Ink Colors
Consecutive Numbering or Barcode
Label Specifics
Label Width (Distance 1 in figure above)
Label Height (2)
Label Repeat (3)
Label Gap Around (5)
Carrier Width (4)
Horizontal Perf/Slits (9)
Vertical Perf/Slits (10)
Label Gap Across
Number of Labels Across
Packaging Specifics
Labels Wound (In/Out)
Core Diameter
Labels Per Roll
Labels Per Fanfold Stack
Auto Applied
Pinfeed
Die Cut, Butt Cut or Sheeted
Shrink Wrap, Poly Bag or None
Quantities
Total Quanties (separate by commas please)
Annual Usage
Quote Blanket Agreement (yes or no)
Special Instructions