Quote Request Form

Date:	6/18/2013
Account Rep.:

Company Name:
Attn:
Address:
City:
State:
Zip:
Phone:
Fax:
E-Mail:
Printer Make and Model #:

Horizontal (width) Label Width:
# Across:
Vertical (height) Label Width:
Vertical Liner Width:
Auto Applied:	Yes No

Is the liner perforated?:	Yes No
Does the label have perf/slits?:	Perf Slit No

Vertical Gap Between Labels?:	No 1/8" standard Other
Vertical Gap in Inches:
No? please check one of the following:	Buttcutt Cont. Strip Other
Other Description:

Additional Information:

Back Slit?:	No Vertical Horizontal
Timing indicator?:	No Notch BlackBar

Stock:	Coated Thermal Transfer Direct Thermal (High Speed) Direct Thermal (Regular) Direct Thermal (Non-Topcoated) Tag - (Direct Thermal) Tag - (Coated Thermal Transfer) Other
Other Description:

Adhesive:	Permanent Cold Temp Removable Other
Other Description:
Label Being Applied to What and Where:

Printed:	No Yes
# of Colors:
% ink:
Printing has: (check all the apply)	Line Copy Logo Black Bar Screens Reverse Barcode Floodcoat Deadened Adhesive

	(please choose correct unwind)
Unwind:	1 2 3 4 5 6 7 8

Final Product:	Rolls
Labels/Rolls:
Rolls/Case:
Core Size (ID):
Rolls O.D.:
	Fanfold
Labels/Fold:
Labels/Stack:
Stacks/Case:
Quantity to Quote (m):
Quantity to Quote 2:
Quantity to Quote 3:
Quantity to Quote 4:

Freight:	FOB Little Chute, WI FOB Delivered * If nothing is selected, quote will automatically default to Little Chute, WI

Note: Plate, art, die, copy, color and other charges may apply

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