| Please fill out complete to help us determine the
best dispenser. |
| Name: _____________________________ Company:
_________________________ |
| Address:
______________________________________________________________ |
| PH: _________________________________ Fax:
____________________________ |
| Email: ____________________________ Co Website:
________________________ |
| Circle type of dispenser desired: |
| Electronic
Manual
Non-Adhesive
Electric Label
Hand Held |
| |
| Describe the process being performed:
______________________________________ |
| _______________________________________________________________________ |
| Require Cut Length (s) and Tolerance:
_______________________________________ |
| Type of Tape:
__________________________________ Width:
__________________ |
| Type of Label:
__________________________________ Width: __________________ |
| Number of pieces per shift: ___________ Number of
shifts per day: ______________ |
| Type of Environment (Cold, wet, etc.):
______________________________________ |
| Other details you think might be helpful:
____________________________________ |
| ________________________________________________________________________ |
| ________________________________________________________________________ |
| Mail this form with your sample material to: |
| DWC Packaging |
| 1201 South Boyle Ave. |
| Los Angeles, CA 90023 |
