Label Item #: Quantity: box(s)

Label Colour: RED BLUE YELLOW BLACK WHITE GREEN ORANGE

FLUORESCENT RED (black text only)

FLUORESCENT ORANGE (black text only)

FLUORESCENT YELLOW (black text only)

FLUORESCENT GREEN (black text only)

FLUORESCENT PINK (black text only)

Text Colour: RED BLUE YELLOW BLACK WHITE GREEN ORANGE

Step 3: Insert label information (please print clearly)

Custom Label Order FormStep 1: Select label size & quantity

Step 2: Select label and text colour

Step 4: Include a symbol (optional)

Symbol #:

Step 5: Email or fax completed order form orders@pharmasystems.com | 1.888.475.7155

Date

Pharmacy

Address

City Province Postal Code

Email

Name

Phone

Fax

Account #

Wholesaler

To include a custom logo or graphic, please contact our customer service department.

Enter the Item Number of your desired label. Enter the quantity of boxes you desire. (Refer to the second page for sizes, shapes and quantity per roll)

URGENT!

#288119mm Circle1 Roll 1000/Box

#282189mm x 22mm5 Rolls 200/Box

#289764mm x 19mm4 Rolls 250/Box

#289156mm x 14mm3 Rolls 350/Box

#285144mm x 25mm2 Rolls 400/Box

#280141mm x 10mm2 Rolls 500/Box

#284138mm x 16mm2 Rolls 450/BoxMin Order: 6 Boxes

#281035mm x 10 mm2 Rolls 500/Box

#280522mm x 10mm2 Rolls 500/Box

#2801A16mm x 16mm1 Roll 1000/Box

#287192mm x 76mm4 Rolls 250/Box

#283170mm x 44mm2 Rolls 500/Box

#281467mm x 51mm2 Rolls 500/Box

#286164mm x 38mm2 Rolls 500/Box

#280750mm Hexagon2 Rolls 500/Box

#280619mm Hexagon1 Roll 1000/Box

#2889L76mm x 11mm5 Rolls 200/Box

LABELS TO SIZE *Minimum order for #2841 is 6 boxes. Minimum order for all other items is 1 box.

Text Colour: RED BLUE YELLOW BLACK WHITE GREEN ORANGE