Full Name:                   

Company Name:        

Title:                              

Street:                          

City:                                

State:                                       Country:                Postal Code:     

Phone Number:                        Extension:       

  (include area code)

E-Mail Address:          

Re enter E-Mail:          

Web Site:                    

Qty to Quote:                              

Label/Ribbon Size:        width       X     length     

Labels Across:                                 Core Size:     

Blank:                                            Yes No    

Ink Colors:            PMS Match:      Yes No     

Printer Make:               Model: 

Label Stock:                  Color:  

What are you applying this to:            

Are labels ROLL or FAN FOLDED:       Roll Fan Folded                  Qty per Roll:  

     If on a roll, is it wound IN or OUT:   In Out             Max OD of Roll:  

Are there perforations on the label:                     Yes No

Please explain where other perforations are:   

Please include any additional information needed to quote your product: