Barcode Label Order Form

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

To accurately print your bar code labels, please fill out the information below. Text must be written exactly as it would appear on the label, i.e., all caps or mixed case letters, spaces, commas, etc. Labels must be ordered in increments of 1,000 in any specified number range and should have a starting number of 1000 or higher. Photocomposed labels have a minimum order requirement of 2,000. All labels are printed in Code 39 symbology (9 or 14 digit labels) and require 4 to 6 weeks for printing.

COMPanion Part Number	Product Name
V0020 $60/1000	One-part custom, laminated photocomposed bar code label (up to 2 lines of text with up to 40 characters per line)
V0010 $80/1000	Two-part custom, laminated photocomposed bar code label (up to 2 lines of text with up to 40 characters per line)
V0050 $30/1000	Preprinted laser bar code labels (Label Protectors Recommended) (up to 2 lines of text with up to 32 characters per line)
V0060 $40/1000	Label Protectors

Fields with a * are required.

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:

State (Province):*

Postal Code:*

Country:

Phone:
ext.:
Fax:

Comments:

I would like more information about the following items:

Spine Labels, Blank
Laser Labels, Blank
Bar Code Scanners

*Shipping and handling charges will apply.

We will contact you to confirm this order, please provide your phone number or email.

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