Company Information

    Company Name (required)

    Phone # (required)

    Contact Name

    Fax#

    Department

    E-mail (required)

    Address

    Initial Qty

    City, State, Zip

    Date

    Authorized By

    Front of Card

    Orientation:
    LandscapePortrait

    Logo:
    Pantone Matching System (PMS) color & number (ie. Red/185)
    (Please email us your Logo graphic in a .jpg or .tif format.)

    Background Screen:

    Screen Coverage Area:
    Full Coverage with an 1/8" white border around the edge of the cardFull coverage / edge to edgePartial Coverage with an 1/8" white border around the edgePartial coverage / edge to edgeOther

    Slot punch hole for badge attachment:
    YesNo

    Badge Attachment:

    Photo:
    YesNo

    Border around photo box area?
    YesNo

    Border Color:

    Data Fields:
    ["UL" = Upper & Lower Case] ["AU" = ALL UPPER CASE]

    First Name

    First & Last Name

    First, Middle, Last

    Nick Name

    Credentials

    Title

    Department

    Employee #

    Address

    Preferred Font

    Letter Style

    Please describe, in order, of how you would like your fields placed on your card:

    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

    Back of Card

    Orientation:
    LandscapePortrait

    Card Technology:

    Barcode:
    YesNo

    Barcode Language:

    Density:

    Number of Digits:

    Starting Number:

    Show Human Readable #:
    YesNo

    Barcode Security Mask:

    Please describe the location of the barcode on the card:

    Cards

    Magnetic Stripe - Type

    Encode on Track:

    Encode:

    Type of Reader:

    Proximity Card:
    Yes

    Smart Chip:
    Yes

    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

    Text Print:

    Additional Instructions