Beta Barcode Solutions  -  Order form

Please fill in the following fields as completely as possible:

With standard browser settings the filled in fields are saved on your computer and you can
fill them in automatically on your next visit.
Please Pay by credit card - when we receive payment we process your order.



1) Company:


2) Contact person:



3) E-mail address:


4) Invoice-address:



5) Shipping-address:
(If other than invoice-address)


T.a.v.


6) Telephone:


7) Fax:


8) Bar Code type:


9) Film Specifications
Only if you choose film
 		10) Bar Code / ISBN Number(s):


11) Symbology:


12) Description:


13) Print Process:


14) BWR:


15) Magnification:


16) Shipment method


17) Comments:

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Please pay by Credit Card we accept MasterCard and Visa