Page 1

Customer Information
* = required information
* First Name:        
* Last Name:        
* Title:                  
* Address:            
Address (cont.):    
* City:                  
* State:                         * Zip Code:
* Phone:               
Fax:                      
* E-mail:              
Poly Bag Information
Width:       inches
Gusset:      inches
Length:     inches
Gauge:       mil
Bottom Seal:
Sideweld:

 

 

Page 2 (Cont.)

Material:
Clear
Color
(Check all that apply)
High Density
Tint
 
Polypropolene
Opaque
Specify Color:
Printing Colors: 1 2 3 4 5 6
Printing Side: 1 side 2 sides
Printing Repeat:
inches
 
Registered
Random
Poly Bag Options:
Lip
Lip Inches: 
(Check all that apply)
Punched
Specify:      
 
Header Sealed
Size:           
 
Reverse Flip Lip
Size:           
 
Wickets
  
Quantity:
Additional Comments