Name * E-Mail Address * Company Name Address City State Zip Phone Date Sales Rep (If Known)
Reorder Your Printer Make and Model (If known) Printer Type Select One Thermal Transfer Direct Thermal Laser/Inkjet EDP Not Sure Label Type Select One Rolls Sheets Pin Fed Fanfolded Tag Not Sure Sensing Select One Gap_Die_Cut Notch_Left Notch_Right Notch_Center Black Bar(Mark Not Sure Print Mode Select One Tear Off Peel Off Cutter Rewind Not Sure Printing Select One Blank Flood Coat Graphic Print Not Sure PMS Colors
Not Perforated Core Size Select One 3" 1" Other If Other Size: Label / Tag Width Label / Tag Height Adhesive Select One Permanent Freezer Cryogenic Aggressive Removeable Other Not Sure Number Across Material Type Select One Paper-Thermal Transfer Paper-Direct Thermal Polyester Synthetics Other Not Sure # of Colors on Front: # of Colors on Back Wound Direction Select One Wound In Wound Out Not Applicable Not Sure Out Roll Diameter Select One 4" 5" 6" 8" 10" 12" Temperature during Application Select One Below 32 degrees 32 to 50 degrees Above 50 degrees Temperature after Appliction Select One Below 32 degrees 32 to 50 degrees Above 50 degrees Specific Resistance (Chemical, High Temps, etc.) Label Quantity to Quote Ribbon Quantity to Quote Ribbon Type Select One Wax Ribbon Wax/Resin Ribbon Resin Ribbon Not Sure Not Interested
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