Med-Label, Inc. ORDER FORM

Labels, Label Guns, Label Printers & Label Supplies for the Hospital Marketplace
       
Bill to:   Ship to:  
    Same as Bill to: Yes
Name: Name:
Address 1: Address 1:
Address 2: Address 2:
City: City:
State: State:
Zip: Zip:
Phone: Phone:
       

Customer Information:
Customer Account #:    
PO#    
Name:    
Department:    
PHONE#:    
E-MAIL:    
Verify Email:    
Order confirmation by email:



   

SHIPPING: Med-Label Inc will prepay ground shipping and add to invoice unless otherwise noted below:
       
Fed-Ex or UPS collect (charge to your account)    
Expedited FedEx delivery request:    




   

 


QUANTITY REORDER #: DESCRIPTION UNIT PR TOTAL
         
         
      SUBTOTAL   
       

Thank you for your order!

Med-Label, Inc. © 2013 | Site by: RomanMedia.com