Dimension of Code Area:
(Please note height and length of
the code, minus the human-readable
and bearer bars if available)
x
Characters to be Encoded:
Film:
Emulsion:
Number of Duplicates:
($3.50 per duplicate. Duplicates are
important if printing overseas)
Disk:
($1.00 disk charge)
Printing Method:
Program Imported to:
(all files will be produced in EPS format)
Specify Other:

Company Name:
Company Address:
Additional Address:
City/State/Zip:
Phone:
EMail:
Contact Name:

Shipping Address:
Drop ship $1.50
Additional Address:
City/State/Zip:
Shipping Instructions: Specify Other:
Your Modem or
e-mail Address:
Contact Name:

Prices: 1-9 codes $12.75 each; 10-25 codes $10.75 each; call for quantity discounts. Terms are available upon approval of credit after first order.

Master card
Visa
Card Number:
Expiration Date:
Card Holder:

We Accept Visa and Master Charge

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