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Section 1 - Customer Information

Section 2 - Label Environment Performance

This section is designed with the theory that the only way to produce a high quality label is to understand the environment it will need to withstand. To better understand any of the questions in Section 2, we suggest that you visit our Label and Plate Buying Guide. Please note - if you have engineered specified materials, there is no need to fill out this section - please proceed to Section 3.

Abrasion

Will the label be placed in an area where it will be susceptible to being rubbed or knocked? Yes No
If yes, what frequency of abrasion will occur? Hardly Any Moderate Often Constant

Application

What texture will the label be applied to? Smooth Rough Very Rough

What type of surface will the label be applied to? Uncoated Metal Painted Metal Hard Plastic Waxy Plastic
Other (Please Specify)

What shape of surface will the label be applied to? Flat Convex Concave

Resistance to the Elements

Where will the product this label is being applied to be located? Indoors Outdoors Both

Thinking of both winter and summer, what temperature range will this label be exposed to?
Please Specify (F/C)

What degree of humidity will the label be exposed to? Very Dry Moderate Some Moisture Wet

Which time period best describes how often the label will be exposed to cleaning solvents? Never Yearly 3 X Per Year 6 X Per Year

Will the label be exposed to any harsh chemicals? Yes No
Please Specify

Length of Duty

How long do you want this label to last? 1 Year 3 Years 5 Years 10 Years Longer

Longer? Please Specify.

Usage Requirements

Do you plan to record variable information onto your labels as they are put into use?

No Pen Typewriter Printer Printer Type

Section 3 - Label Description

Height* Width*

Number of Colors?*

Background Color(s)?

Text Color(s)?

Logo Color(s)?

Label Shape?* Square Rectangle Circular Other If Other, Please Specify.

Quanities to Quote on?

Is sequential numbering of labels required? Yes No If Yes, Specify first #

Would you like label corners to be rounded ? Required Radius ?

If a plate, are mounting holes required? Yes No If Known, Specify Hole Size
# of holes required

Are die cut windows required? If yes, please specify number and sizes.

Are die cut holes required? If yes, please specify number and sizes.

Are any adhesive free areas required? If yes, please specify number and sizes.

What finished format for labels is required? Cut Single Pre-Cut Strips Sheets

What is your required in hand date ?*

Are there specified materials for this label? If So, Please record below.

Additional Information / Comments

Section 4 - Certification Requirements

Please fill out this section if this label must conform to any certifications.

Is CSA approval required ? Yes No

Is UL approval required ? Yes No

If this is a warning label, are ANSI standards applicable? Yes No

Are Boiler Association specs applicable? Yes No

Are Military specs applicable? Yes No

If so, please specify specification number.

Are any other approvals required? Please Specify.

Thank you for requesting a quote from Can West Label.
A written quote will be faxed to you within 24 hours.