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SHELF TAG SUPPLY
Call	800-851-8980
Local	317-580-4030
Fax	317-580-4024
Mail	611 3rd Avenue SW
	Carmel, IN 46032
Email	Send Message

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www.shelftagsupply.com

Sample Request Form

Thank you for your interest. Simply complete the information below to receive your
sample(s) at no charge. These samples are available to qualified businesses only.

	NOTE: Complete and submit this form with ALL sample part numbers prior to visiting another page or your information will need to be re-entered.

1.	Part Numbers Separate with commas Ex: H1X4AB,M1X3
2.	Comments
3.	Name
	Organization
	Shipping Address1
	Shipping Address2
	City
	State
	Other State/Province
	Zip/Postal Code
	Country
	Phone
	Fax
	Email
4.	Customer Type
5.	Customer Status
6.	Catalog Code If you are using our print catalog as a reference, please enter the catalog code found on the back cover in the pink box. CODE=_ _ _ _ _ _ _



	We will send a comparable sample via UPS Ground right away. If you require faster delivery, please call Customer Service at 800-851-8980.

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