Nuordform

Please provide the following contact information:

First Name

Last Name

Street Address

Address (cont)

City

State/Province
Zip/Postal Code

Day Phone
Evening Phone

E-mail

Quantity of Labels (in multiples of 10):

Enter Names to appear on Label:

Enter the Date to appear on Label: (mm/dd/yy)

Label Color: MetallicGold MetallicSilver
GlossyIvory
MatteWhite

Clear Matte Crystal Clear PolyWhite GlossyWhite

Design Number:
Message Number:

Lettering Style:

My Message (limit 4 lines):
(Only if CUSTOM MESSAGE selected above)

Completed order to be mailed (select one):

B & D Sales Web Authoring.
Copyright © 1999 [B & D Sales]. All rights reserved.
Revised: January 14, 2006

First Name
Last Name
Street Address
Address (cont)
City
State/Province		Zip/Postal Code
Day Phone		Evening Phone
E-mail

Quantity of Labels (in multiples of 10):
Enter Names to appear on Label:
Enter the Date to appear on Label: (mm/dd/yy)

Label Color:	MetallicGold	MetallicSilver	GlossyIvory	MatteWhite
	Clear Matte	Crystal Clear	PolyWhite	GlossyWhite

Design Number:			Message Number:
Lettering Style:
My Message (limit 4 lines): (Only if CUSTOM MESSAGE selected above)


Completed order to be mailed (select one):


B & D Sales Web Authoring. Copyright © 1999 [B & D Sales]. All rights reserved. Revised: January 14, 2006