This form must be attached to your purchase order.
All requested
information must be provided for us to process your order.
PO must be made out to: WiLS, 728 State Street, Room 464, Madison WI 53706.
Contact Person:______________________________________________
Library:_____________________________________________________
Street:______________________________________________________
City, State, Zip:______________________________________________
Phone:________________________Fax:_________________________
Email: __________________________
Check one: ___ New Order ___Re-Order
Check one: ___ Order same label style/type ___Order different label style/type
Check one: ___ #5700 One-Part Label ___#5600 Two-Part Label
Imprint Line (35 characters max): ____________________________________
Starting Number: _______________________
Minimum order of 5000 labels required.
| Type Finish | (choose one): | Quantity |
Price
|
|
| None | (#5700 $27.00/1000) | (#5600 $42.00/1000) | _______ | _______ |
| Varnish | (#5700 $32.00/1000) | (#5600 $42.00/1000) | _______ | _______ |
| Gloss Laminate | (#5700 $32.00/1000) | (#5600 $42.00/1000) | _______ | _______ |
| Matt Laminate | (#5700 $32.00/1000) | (#5600 $42.00/1000) | _______ | _______ |
| Payment (choose one): | |||
| ___ Deduct from Deposit Account (no charge) | Symbol __ __ __ ___ | _______ | |
| ___Please Invoice (service charge) | $10.00 | _______ | |
| Shipping | $10.00 | _______ | |
|
Total |
_______ |