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My Contact Information:

* Company / Organization Name:        (* Required)

* Name:        (* Required)

* Phone Number:        (* Required)

   Fax Number:      

* Address 1:        (* Required)

   Address 2:      

* City:        * State:        * Zip:        (* Required)

  Country:      

* E-Mail Address:        (* Required)

* Please tell us how you heard about us:        (* Required)

  Label Type:      

  Label Shape:             Label Corners:            Between Labels:      

  Measurements Below Are Specified In:      

  Size (width across):             Size (height):      

  Size Availability:      

  Adhesive Quality:      

  Labels Will Be Applied:      

  If Blank Labels Indicate Core Size:      

  Printer Make & Model (only required for blank labels):      

  Quantity (in thousands):      

  Artwork Provided:      

  Barcode Type:      

  Colors:      

  Protective Lamination (pre-printed labels only):      

  Label Durability Needed:      

 
  List Below Further Details Of The Labels Intended Use:  (Optional)
 
  (Include details of label environment, i.e. exposure to temperature extremes or chemicals, what
 
  the label will be applied to, durability needed, and any other specifics not covered above.)

 

Thank you for considering Electronic Imaging Materials, Inc for your labeling needs. You will hear from
 one of our Label Experts shortly.

 

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