MakeBarcode.com / MakeLabel.com Order Form
Person to contact:
Name:_____________________________________________________
Telephone:________________________________________________
Fax:______________________________________________________
E-mail:___________________________________________________
Ship to:
Company:__________________________________________________
Attention:________________________________________________
Address 1:________________________________________________
Address 2:________________________________________________
City:_____________________________________________________
State/Province:________________ Postal Code:______________
Country:__________________________________________________
Please list items required:
Item # Description
Quantity Price Total
______ _____________________________________ ________ _______ _______
______ _____________________________________ ________ _______ _______
______ _____________________________________ ________ _______ _______
______ _____________________________________ ________ _______ _______
8.75% Sales Tax (For Illinois customers only) _______
Shipping Charges _______
TOTAL _______
Method of Shipment:
[ ] E-mail (for MEC Software products and Barcode Artwork ONLY)
[ ] Fax (for license renewal or upgrades ONLY)
48 Contiguous US States:
[ ] FedEx Ground ($10 for first 12lbs)
[ ] FedEx 2-day ($18 for first 5lbs)
[ ] FedEx Standard Overnight ($35 for first 5lbs)
Alaska, Hawaii, Puerto Rico:
[ ] FedEx 2-Day (call for shipping rates)
[ ] FedEx Standard Overnight (call for shipping rates)
Delivery locations outside the USA:
[ ] FedEx International Ground (6+ days, call for shipping rates)
[ ] FedEx International Economy (2-3 days, call for shipping rates)
[ ] FedEx International Priority (24-48 hours, call for shipping rates)
Other ship methods:
[ ] Other Please Specify__________________ (please call first)
Method of Payment:
[ ] Established Corporate Account
Purchase Order #:___________________________________________
[ ] Prepaid (enclose check or money order)
[ ] American Express [ ] Visa [ ] MasterCard
Card Number:___________________________ Expiration Date:___________
Cardholder Name:____________________________________________________
Bill To:
[ ] Check here to use
Ship To address
Company:__________________________________________________
Attention:________________________________________________
Address 1:________________________________________________
Address 2:________________________________________________
City:_____________________________________________________
State/Province:________________ Postal Code:_____________
Country:__________________________________________________
Authorization Signature:__________________________________________
Signature required for all orders. By signing above, the purchaser acknowledges and
agrees to the terms and conditions of The Barcode
Software Center.
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