Name:

Company:

Street Address:

City, State Zip:

E-mail address:

Telephone Number:

Description of Label (Size and Type):

Label Stock:

Quantity:

1st Ink Color:

2nd Ink Color: (Upcharge applies)

1st text line: Alignment: Left Center Right;       Ink Color: 1st Ink Color 2nd Ink Color
             Font

2nd text line: Alignment: Left Center Right;       Ink Color: 1st Ink Color 2nd Ink Color  
             Font

3rd text line: Alignment: Left Center Right;       Ink Color: 1st Ink Color 2nd Ink Color  
             Font

Comment or Special Instructions:

        Don't forget to attach your camera ready artwork