1000 Spruce Street
Terre Haute, IN 47807

812 232-0408
800 457-0676
Fax 812 238-1847
Fax 800 367-1847
Application for:

Data Label, Inc.
Registration

For You And Other In Your Company To Receive An Electronic Catalog In PDF And/Or Excel Formats

 (For Data Label Customers & Resellers Only!)
Send Me A Catalog! - (For Resellers Only!)

Please Check The Format (s) You Would Like To Receive - Digital PDF Format and/or Excel Format

NOTE: E-mailed files will be sent to the address(s) you enter on this form.

Please Select Which Catalog Format (s) you would like to receive.
Digital Catalog (PDF Format) via E-mail
Digital Catalog in Excel Format via E-mail
Required Company Name:
If this is single copy request, only fill the next 3 boxes.
Required Your Name Required Position Required Email Address
You can add 10 more Names, Positions, and E-mail addresses Working for your Company to also receive the Electronic Catalog.
Name Position Email Address

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