Date:
Contact Name:
Company Name:
Company Address:
Phone Number:
Fax Number:
New Order?
Yes
No
Repeat Order Number:
Exact Repeat?
1.) Label Width
2.) Label Depth
3.) Label Repeat
4.) Carrier Width
5.) Horizontal Space Between Labels
6.) Vertical Space Between Labels
7.) Number of Labels Across
8.) Quantity Per Box
9.) Horizontal Perfs/Slits
10.) Vertical Perfs/Slits
For Diagram of Items 1 - 10, See Above
Fanfold
Rolls
Buttcut
Sheeted
Pinfed
Die Cut
Materials (Check All That Apply)
Smudgeproof
Duo-Image Piggyback
Universal Wt. Laser
Latex Impregnated
Duo-Image
Thermal Transfer
Matte Litho (Coated)
Film (Synthetic)
Direct Thermal
Hi-Gloss
Fluorescent
Thermal Transfer Tag
Piggyback
Laser
Direct Thermal Tag
Other
Adhesives
Permanent
Tape Reel
Drum & Barrel
Removable
Freezer (all temp)
Patterned
Printer Type
Dot Matrix
(Please provide both make and model.)
Ink Color & Copy
Camera Ready
Typesetting Required
No. of Colors
Reverses
Solid Tint-Color
Screen in Logo
Color 1
Color 4
Color 2
Color 5
Color 3
Notes
Roll Label Information
Wound In
O.D.
Wound Out
Core Diameter
Automatically Applied?
Quantity to Quote
Quantity
Size Quoted
Additional Notes
