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COMPANY NAME:
COMPANY ADDRESS:
PHONE# CELL# FAX#
EMAIL: CONTACT/TITLE:
ORDERING INFO:
PAPS LABELS (into USA) PARS LABELS (into Canada) HCGH LABELS (into Canada)
CURRENT BCB CLIENT NEW BCB CLIENT (New clients will be required to pay by credit card.)
*** ALL AMOUNTS ARE IN U.S. DOLLARS. ALL PAYMENTS MUST BE MADE IS U.S. DOLLARS ***
Your U.S. Carrier Code: Canadian Carrier Code:
The first number used in your labels will be 10000001 unless otherwise stated here:
BILLING AND MAILING INFO:
BILL TO CLIENT AND ADDRESS:
MAIL LABELS TO ADDRESS:
PAPS LABELS # OF LABELS PRICE COURIER FEE TOTAL COST
300 $30.00 $30.00 $60.00
1 SET OF NUMBERS 600 $55.00 $30.00 $85.00
1200 $75.00 $30.00 $105.00
1500 $90.00 $30.00 $120.00
PARS OR # OF LABELS PRICE COURIER FEE TOTAL COST
HCGH LABELS
160 $20.00 $30.00 $50.00
1 SET OF NUMBERS 300 $30.00 $30.00 $60.00
600 $38.00 $30.00 $68.00
760 $45.00 $30.00 $75.00
Date: NAME: (Please Print):
Signature: Revised 02/19/2019
PAPS, PARS AND HCGH LABEL ORDER FORM 2019
Note: You must have SCAC code certificate from NMF or the Canadian Carrier code from CCRA. To place your order,
please email this form to [email protected] or fax this form, Attn: Corinne, to 716-884-5703.
