Name *
E-Mail Address *
Company Name
Address
City
State
Zip
Phone
Date
Sales Rep (If Known)
New Order
Reorder
Your Printer Make and Model (If known)
Printer Type Select OneThermal TransferDirect ThermalLaser/InkjetEDPNot Sure
Label Type Select OneRollsSheetsPin FedFanfoldedTagNot Sure
Sensing Select OneGap_Die_CutNotch_LeftNotch_RightNotch_CenterBlack Bar(MarkNot Sure
Print Mode Select OneTear OffPeel OffCutterRewindNot Sure
Printing Select OneBlankFlood CoatGraphic PrintNot Sure
PMS Colors
Perforated
Not Perforated
Core Size Select One3"1"Other
If Other Size:
Label / Tag Width
Label / Tag Height
Adhesive Select OnePermanentFreezerCryogenicAggressiveRemoveableOtherNot Sure
Number Across
Material Type Select OnePaper-Thermal TransferPaper-Direct ThermalPolyesterSyntheticsOtherNot Sure
# of Colors on Front:
# of Colors on Back
Wound Direction Select OneWound InWound OutNot ApplicableNot Sure
Out Roll Diameter Select One4"5"6"8"10"12"
Temperature during Application Select OneBelow 32 degrees32 to 50 degreesAbove 50 degrees
Temperature after Appliction Select OneBelow 32 degrees32 to 50 degreesAbove 50 degrees
Specific Resistance (Chemical, High Temps, etc.)
Label Quantity to Quote
Ribbon Quantity to Quote
Ribbon Type Select OneWax RibbonWax/Resin RibbonResin RibbonNot SureNot Interested
Additional Information
We are happy to provide a custom quote over the phone
