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Your Name*:
Title:
Company*:
Street Address*:
City, State, Zip*:
Phone (with area code)*:
FAX (with area code):
E-Mail Address*:
What are you labeling*:
What size label do you need?
Width*:
Length*:
Shape*:	select shape Rectangles Square Oval Circle Special Shape, please specify
If a special shape, please specify:
What type of face material*:	select material Hi Gloss Paper Semi Gloss Paper Matte Paper Blackout/Greyback Paper Thermal Transfer paper Laser Paper Fluorescent (red, orange, green) Silver Foil Gold Foil Clear Mylar Chrome Mylar Clear Poly White Poly Vinyl Tag Stock (10 pt, 12 pt, 16 pt) Other (specify in comments below)
What type of adhesive?*	select adhesive Permanent Removable Cold temp Freezer temp Special Other (specify in comments below)
How many colors*:
Quantity of labels*:
Number of items:
What kind of artwork is available*:	select art type Black and White Electronic Art In Development Need Assistance Attach file
The labels will be applied*:	By hand Automatically
When do you need the labels*:
Specific requirements or additional comments: