Company Name:
Contact Name:
Phone:
Street Address:				City:		State:		Zip:		Country:
Email:

Quantities:
Label Height:						Label Width:
Die Type:	Choose One Die Cut Rectangle Knife Cut Rectangle Sheets w/ Backscore Die Cut & Sheeted Between Cavities Circle Oval Starburst Special Shape
Special Shape Description:
Material:	Glossy Paper Uncoated Paper Clear Vinyl White Vinyl Dull Silver Foil Bright Silver Foil Dull Gold Foil Bright Gold Foil Fluorescent Paper Silver Mylar White Mylar Clear Mylar Piggyback Stock Tag Stock Choose one Other					Permanent Adhesive:		Removable Adhesive:
Other Material Description:
Lamination/Varnish Type:

# of Colors:

Flat Colors:

Process:

Hotstamp:

Varnish:

Spot Varnish:

Serialized:

Consecutively Numbered:

UL Approved:

# of Copies:

# of Common Plates:

# of Common Colors:

Salesperson:

Special Instructions: