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 Number

Street Name

SuburbTown/City

Postcode
Contact Person*

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

Area CodePhone Number
Order Number (optional)
Label Details (See ordering guide for label example)
Label Heading *
e.g. School/site name
First barcode number in range *
e.g. B003001 please include any leading letters if any - (if number is 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 only requiring clear labels put zeros in the fields above

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 only requiring clear labels put zeros in the fields above

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
New Zealand urban and rural addresses
Subtotal
GST
Total to be invoiced
Email invoice to Accounts Payable*
NB this will also be emailed to you
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: