Company Name:
Contact Name:
Telephone Number:	Fax Number:
E-mail Address:	URL:

Fill in as much information as possible, or call a FormTech Representative.

Label Name:

Order Qty:

Rolls:

Label Height:

(x) Label Width:

Space Between Labels:

(x)

Choose a Roll Format:

Wound IN

Wound OUT*

Core Size:

Are existing label samples available?

Yes

No

Required Delivery:

What type of surface(s) is label being applied to:

Surface Application Temperature:

Label Service Temperature Rating:

Variable Options:

Bar Code Consecutive Numbering Variable Imaging

Trim:

Butt Cut Die Cut

Supplied As:

Roll Laser Cut Sheet Fanfold

Platform:

MAC PC

Job to be received as:

Native File High Resolution PDF

Software Used:

Quark InDesign Photoshop Illustrator Other

Proofs Needed:

Digital Colors Proof Press Proof Acetate Proof

Label Use: Commercial Industrial

Print Options:
Blank
One Color
Two Color
Three Color
4/C Process
Other

Label Materials:
Thermal Transfer
Direct Thermal
Laser
Polyester
Vinyl
BOPP Film
Other

Adhesives:
Permanent
Removable
Patterned
Chemical Resistant
Other

Coatings:
None
Over Laminate
UV
Varnish
Other

Indicate Print Device Used:

Zebra

Datamax

Printronix

Other

Ribbon Material:

Wax

Resin Enhanced

Resin

Width:

Length:

Packing:

Polywrap/Polybag:

International Shipment:

Yes

No

Shipping Zip Code: