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