Barcode Order Form

If this is your first order please refer to the Pricing & Ordering Guide before proceeding.
Customer Details
School/Site *
Courier Address *

Street

Suburb

Town/ City

Postcode
Contact Person *

First Name Last Name
E-mail *
Your email address
Phone Number *

Area Code Phone Number
Order Number (optional)
Label Details (See ordering guide for label example)
Label Heading *
First barcode number in range *
e.g. B003001 (if not known put a '0' and make a note below)
Quantity required *
e.g. 500 (even numbers only)
Total Clear Covers if required
Leave blank if not required

If a 2nd range of numbers is required enter them here:
Label Heading for 2nd range of numbers
First barcode number in range -
e.g. R0601 (if not known put a '0' and make a note below)
Quantity required *
Enter zero if not required
Total Clear Covers if required
Leave blank if not required

If a 3rd range of numbers is required enter them here:
Quantity and Cost
Total Barcode Labels
Total Clear Covers if ordered above
Postage and Packaging
NZ delivery (overseas please enquire)
Subtotal
GST
Total to be invoiced
Notes:
To complete your order please press the SUBMIT ORDER button below. A confirmation message should appear immediately on your screen. You should also receive an email outlining your order details within a few minutes, if not please check your spam/junk folder.
Should be Empty: