Contact Information:
Company Name:    
Contact Person:    
Contact Phone: - -    
Fax Number: - -    
E.mail:
Address:    
City:
   
Province:    
Country:    
Postal / Zip Code:    
Comments:  
   
*The following information is optional.
Description:
Quantity:    
Number of Colors:    
Repeat (Length)
- No Gap 		   
Size (Width)
- Across Liner
Artwork Supplied: Yes No N/A    
  Butt Cut    
Label Type: Die Cut*    
  Don't know    
*( If Label Type is Die Cut)    
Options:    
Other Options:  

Application:
Type of Application: Hand Applied *If Machine    Applied choose Rewind direction#:
Machine Applied*
Conditions:
- Check All That  Apply		 Indoor Outdoor
Cold / Freezer Hot
Smooth Surface Rough Surface
  Water Resistant
Surface Type:   If Other, Specify:
Label Affixed Permanently: Yes No
Special Conditions:



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