Stock Order Form
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)
Quantities 
(please specify
M or H)
Item #
Please refer to our online catalog for item numbers.
Price Per M or H
Use The Price As Listed In Our Catalog
Extended
Price
Multiply Quantity Times The Price Per
TOTALCost:

Additional Information or Instructions


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