Application Information Form

1. What is the product to be marked or coded?

   Primary Package
   Secondary Package
   Other (Please describe):
          

2. What is the surface?

   Porous (paper, cardboard, chipboard, etc.)
   Non-porous (glass, plastic, steel, etc.)
   Other (Please describe):
          

3. What speed is the product conveyed?

   Pieces per minute (ppm):
   Feet per minute (fpm):     
   Product is not conveyed (Please describe production flow):
          

4. How is the product conveyed?

   Belt conveyor
   Link conveyor
   Roller conveyor
   Other (Please describe):
          

5. How many sides of the product require a mark?

   1 2 3 4 5 6

6. Which sides require a mark? (Refer to diagram)

   1    2     3 4    5     6

7. What is the information to be marked or printed? (Please provide as much detail as possible)

8. What are the print height requirements? (Please provide height of mark in inches)

9. What is the desired print resolution?

   Low resolution (50 dpi or less)
   High resolution (75 - 400 dpi)

10. Does your application require bar codes?

    Yes No

11. If yes, what symbology?

    UPC-A UPC-E UPC +2 or +5 EAN-8 EAN-13 EAN +2 or +5 Code 39 Code 39 mod 43 Code 93 Codabar Interleaved 2 of 5

    Interleaved 2 of 5 mod 10 Code 128-A, B or C Code 128 auto switching UCC 128 EAN 128 UCC/EAN 128 SSCC-18 SCC-14 (Code 128) SCC-14 (Int. 2 of 5) Postnet Plessey

    
    

12. Does your application require graphics?

    Yes            No

    If yes:

    Black & White     Color

13. How durable must the mark be?

    Permanent
    Temporary
    Estimated life of mark (days):

14. Please provide any additional information that you feel is important to your application:

Please provide the following information: