NOTE:
When filling out the form below, please do not include any additional characters such as a - or () in your phone number.
*
First Name:
*
Last Name:
*
Company:
*
E-mail:
Address:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Lousiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington DC
West Virginia
Wisconsin
Wyoming
Zip Code:
1. Type of Business:
Aerospace
Automotive
Durable Goods
Electronics
Energy
Manufacturing
Medical
Military
OEM
2. Quantity:
3. Size:
4. Type of Material
Acrylate
Aluminum
Chemical Resistant
Dual Layer Paintblock
ESD
Flame Retardant
Overlaminate
Paper
PEN
Polycarbonate
Polyester and Mylar
Polymide and Kapton
Polyolefin
Polypropylene
Security Materials
Tamper Evident
Valeron
Vinyl
5. How Many Colors?
6. Finish:
Gloss
Matte
7. Overlaminate:
Yes
No
8. Applied to:
9. Environmental
Moisture
Chemicals
High Temperatures
UV
Abrasion
10. Applied by:
Machine
Hand
12. Web Address:
13. *Phone (Please do not include - or ()in the number):
14. Fax:
Please send original artwork for review if possible to
sales@imageteklabels.com
and a representative will be with you shortly for review of your project.