Quote Form

ONLINE QUOTATION REQUEST:

Request Date:

Quote Needed By:

First Name: Last Name:

Company:

Street:

City: State: Zip:

Phone: Fax: Email:

Label Description:

New order?

Repeat order? Previous job or PO #:

Exact repeat? Repeat w/ changes?

For repeat order w/changes, describe changes:

Label Usage:

Quantities to quote:

(1) (2) (3) (4) (5)

Bill & ship? Storage required? # Months storage required:

Yearly usage: Order interval: Release qty:

Additional information about usage:

Refer to the following diagram to fill in label sizing and perf info:

(A) label width: inches

(B) label height: inches

# of labels across:

gap across: inches

(D) finished web width: inches

Perforations:

(E) Vertical Perfs:

between each column

at margins

(F) Horizontal Perfs:

between each row

every rows

fanfold only

No Perfs

Die Construction:

Die Cut

Butt Cut

Line hole Punch

Air Eject:

diameter: inches

distance from left edge: inches

distance from top edge: inches

Quote the closest die size available. Quote the exact size specified and die price.

Material:

paper foil film tag other

Describe material choice:

Overlaminate required?

Adhesive:

general purpose permanent harsh environment removable freezer

none other

If adhesive is removable, do you require clean removability?

How long will the label be on the substrate prior to removal?

How will YOU print on these labels?

thermal transfer direct thermal dot matrix laser ink jet

none/handwritten other

Printer used w/ these labels:

Make: Model:

Sensoring by (if none, leave blank):

Additional material information:

Application:

Substrate temperature during label application: �F

Substrate temperature after label application: �F

Labels will be applied by: hand machine

Surface labels will be applied to:

Environment labels will be subjected to:

Label Life: months years

How you would like us to print on this label:

no printing floodcoated spot colors process colors fluorescent

Basic Colors (Choose from: black, 185 red, warm red, reflex blue, process blue, pantone green, process yellow, 165 orange):

(1) front back % ink color

(2) front back % ink color

(3) front back % ink color

(4) front back % ink color

(5) front back % ink color

(6) front back % ink color

PMS Colors (List PMS #):

(1) front back % ink color

(2) front back % ink color

(3) front back % ink color

(4) front back % ink color

(5) front back % ink color

(6) front back % ink color

If there is artwork for this label, please email it to art@mccourtlabel.com and attach files -or- send it to: Art Dept., McCourt Label Company, 20 Egbert Lane, Lewis Run, PA, 16738.

Additional printing/art information:

Copy Position - Choose the illustration that shows the copy orientation when label roll is unwound or fanfolded label stack is fed out of the box: