NOTE: Orders
Will Not Be Accepted From End Users. Data Label Sells For Resale
Only. No Direct Sales!
Please
Note: There are Eleven Required Fields In This
Form:
Your Information
Section
First Ship
To Location Address Section
Additional Ship To Information
Not
Required Unless
You Want Us To Ship
To Other Locations
Order Items
Section
Ship Via
Company Name
First Qty
Your Name
Address
First Item Number
Company Name
City
First Price Per
M or H
State
Zip
Refer
To Our
Online Catalog Or Our Printed Catalog
For Stock Item Numbers. This will open an additional browser window.
Or
Refer
To Our Online Pricing Or Our Printed
Catalog For Stock Item Numbers and Pricing. This may open TWO additional browser windows. Please close the "LOGIN" BROWSER WINDOW AFTER YOU ARE LOGGED IN.
Your
Information:
Your
P.O.#:
Your
Customer's P.O.#:
Your
Name:
Ship
Via:
Phone
#:
Specify
3rd Party:
Fax
#:
Specify
3rd Party Account#:
E-mail:
Customer#:
Company
Name:
Attention:
Address:
City:
State:
Zip:
Ship
To Location Information: (Only The FIRST
Information Is Required)
(Required
All Fields in this section EXCEPT P.O.#
AND Attention) First
Ship To Location Address:
P.O.#:
(If
Different From Customer's PO # Above.)
Company
Name:
Attention:
Address:
City:
State:
Zip:
Other Ship
To Location Information: (Not Required Unless You Need
Additional ship To Locations)
Second
Ship To Location Address:
P.O.#:
(If
Different From Above.)
Company
Name:
Attention:
Address:
City:
State:
Zip:
Additional
Ship To: $5.00 Additional
Charge for each Ship To Address over
2.
Third
Ship To Location Address:
P.O.#:
(If
Different)
Company
Name:
Attention:
Address:
City:
State:
Zip:
Fourth
Ship To Location Address:
P.O.#:
(If
Different)
Company
Name:
Attention:
Address:
City:
State:
Zip:
Order
Items Ordered Quantities Need
To Be Full Cartons (See Catalog For Details) Items
Per M= Thousand, Items Per H are Per Hundred
Ship
To Location (Specify
Ship To By Location As Listed Above)