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MR. MRS. MS.    
NAME:    
TITLE:    
COMPANY:    
ADDRESS:    
COUNTRY:    
PHONE NUMBER:    
FAX NUMBER:    
E-MAIL ADDRESS:    
PRIMARY BUSINESS ACTIVITY:    
CHECK ALL THAT APPLY: Automatic Application Semi-Automatic Application
Thermal Transfer Printers Please have salesperson
contact me
   
ANTICIPATED NEED: Immediate within six months within one year
longer
   
NAME OF LABEL:    
IS THIS A NEW OR EXISTING LABEL? New Label Existing Label    
NUMBER OF COLORS:    
LABEL SIZE WIDTH (ins.):    
LABEL SIZE LENGTH (ins.):    
LABEL SHAPE: (Select from the Menu)    
ART SUPPLIED: (Select from the Menu)    
MATERIAL:    
ADHESIVE: Permanent Removable Freezer
Repositionable Cold Temp
Pattern Other
   
PROTECTIVE COATING: Varnish UV Glaze Overcoat Overlam Polyester
Overlam Polyprop Overlam UV Adhesive None
   
ORDER PATTERN: One Time Annual 6 months
3 months Monthly
   
FINISHING: Die Cut Butt Cut Rolls Singles Fan Fold    
LABEL APPLICATION: Hand Applied Machine Applied    
QUANTITY TO QUOTE (M): 10 25 50 100 250
1mm 2mm other
   
TO BE APPLIED TO: (Include application temp.)    
   
ADDITIONAL COMMENTS:    
   
LABELS WOUND OUT: Top of copy dispenses first
bottom of copy dispenses first
right side of copy dispenses first
left side of copy dispenses first
   
LABELS WOUND IN: Top of copy dispenses first
bottom of copy dispenses first
right side of copy dispenses first
left side of copy dispenses first
   
 
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