Quotation Request

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Quotation

Customer Information

Company*
Contact Name*
Title*
Address*
City*
State*
Zip*
Location*	U.S. Canada Europe, Africa & Asia-Minor Latin America Pacific Rim, Australia & New Zealand
Phone Number*
Fax Number*
E-mail Address
Contact Me By*	Phone E-mail Fax
Product* (Select all that apply)	Round Oval Gallon Square Gallon Round Carton Clam Shell Other
	Per Samples Sent to Auto Labe Information Only (specs, prints, dimensions, etc.)
Desired Product Per Minute Rate*
Where Do The Label(s) Go On The Product*
Design Parameters:
Type of Labeler Needed* (Select all that apply)	Automatic Applicator Semi-Automatic Labeler Automatic Print & Apply Applicator Auto Labe Automatic Labeling System Auto Labe Print & Apply Labeling System Off-Line TT Printing Software Other
Orientation of Product Coming to AutoLabe System*	Short Edge Leading Long Edge Leading Other
Required Label Placement on Product Accuracy*	+/- 1/32" +/- 1/16" +/- 1/8" Other
Products Will Be Labeled* (Select all that apply)	Full Empty Capped Hot Cold Wet Dry
Type of Labeling Environment* (Select all that apply)	Clean Dirty Wet Dry Other
Restrictions, If Any
Options Requested	(i.e. Hot Stamp Imprinter, Thermal Transfer Printers, etc.)
Comments/Additional Information
Where Did You Hear About Us?	Magazine
	Internet
	Referred By
	Other