1. Contact

Name:*

Telephone:*

Telefax:*

Company:*

e-mail:*

POB/Street:*

City/State:*

* = requirement

2. Product

System:

Quantity:

AES Prodata/ERG Alfia Amano Ascom Asytec Boca/Omniticket Cale Designa Elsydel Frank n-tree Parkeon/Elkon Scheidt & Bachmann Schulte Schlagbaum Skidata Systems Zeag

Material:

Card board Compound Thermal PVC

Mag-stripe

Execution:

Fanfold Reel Single

Loco

Hico

3. Print colours

Face

Number of colours

Reverse

Number of colours

4. Extras (optional)

5. Comments

Numbering

Elektrosensitive stripe

Encoding

Tear-off voucher

Security print

Scratch-off

Scent

Hologram

Barcode