Barcode Label Order Form

Call us with questions or for more information concerning your barcode needs!

Part Number*	Number of Labels (min. 2000)*
Starting Barcode Number*	Ending Barcode Number*

Bar Code Label Text (40 Characters Max. Per Line):*

Payment Options

P.O. Number:

Would rather order with credit card (you will be contacted later to collect credit card information)

Ship To Address:

Institution Name:*

Attn:*

Address:*


City:*

State (Province):*

Postal Code:*

Country:

Phone:* ext.: Fax*: E-mail*:

Bill To Address (If different):

Institution Name:

Attn:

Address:


City:

Phone: ext.: Fax: Comments: I would like more information about the following items: Spine Labels, Blank Laser Labels, Blank Bar Code Scanners