CARD DESIGN FORM

Card Design Fabrication Form

Company Name:

Phone#:

Contact Name:

Fax#:

Department:

E-mail:

Address:

Initial Qty:

City, State, Zip:

Authorized By:

Date:

1)  Orientation
     Landscape
    Portrait

2) Logo:
Pantone Matching System (PMS) color & number (ie. Red/185)
main
2nd

Please email us your Logo graphic in a .jpg or .tif format.

3) Background Screen
PMS color number:

% of Screen:

Pattern:

4) Slot punch hole for badge attachment:
Yes              No

5) Badge Attachment:
Part#:          Qty:

6) Photo:   Yes       No

Border around photo box area
Border Color: 
Image to overlay part of the photo area (for additional security)

7) Data Fields
  "UL" = Upper & Lower Case
  "AU" = ALL UPPER CASE
   *Check all That Apply
         
  First Name              - UL AU
  First & Last Name    - UL AU
  First, Middle, Last    - UL AU
  Nick Name              - UL AU
  Credentials             - UL AU
  Title                       - UL AU
  Department            - UL AU
  Employee #            - UL AU
  Address                  - UL AU


Custom Field 1:
     

Enter your Field name above     - UL AU

Custom Field 2:
      
Enter your Field name above     - UL AU

Preferred Font (Arial, Times New Roman, Verdana) 

Use the Font Above for all Fields.
Letter Style (Bold, Italic, Underlined)


Use the Letter Style Above for all Fields.

Please Describe the order you want the above selected fields on your card (First Name, Title, Department)


8) Overlaminate:
(For additional protection from wear & tear - recommended for barcodes but cannot be used on Prox or the back side of Mag stripe cards)

(1.0) mil  clear Overlaminate

(0.6) mil Generic Hologram Overlaminate

9) Total Cards Needed:


Please Review your selections for accuracy before submitting.

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1)  Orientation
     Landscape
     Portrait

2) Technology:

Barcode
Language (3 0f 9, 2 of 5, etc):      

Density:         

Number of Digits:       

Starting Number:

Show Human Readable #:
Yes          No

Barcode Security Mask:  - Red Black

Please describe the location of the barcode on the card:


3) Cards

Magnetic Stripe
Type:                        - High Energy Low Energy Debit

Encode on Track:                - 1 2 3

Encode:         - Data File Sequential Number

Type of Reader:               - Swipe Insert

Proximity Card
Description:



Smart Chip
Description:



4) Text Print:
(When & How to wear policy.  If lost-return policy, mission statement, etc)



5) Overlaminate:
(For additional protection from wear & tear - recommended for barcodes but cannot be used on Prox or the back side of Mag stripe cards)

(1.0) mil  clear Overlaminate

(0.6) mil Generic Hologram Overlaminate