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 Contact Information

Name*
E-Mail*
Business Name
Address*
City *
State* Zip Code*
Country (other than USA)
Phone Number*:
Fax Number
Are you an existing customer or has your business ever requested an estimate from Empire Screen Printing before?
YesNo Unsure
Empire Salesperson's Name (if known)
How did you find our website?

* denotes required fields.

E-mail, Questions or Comments

Free Estimate
Details of Product to be Printed
(Optional)

Please fill out as much as possible so we can provide an accurate estimate. Leave any fields below blank that don't apply or if you don't know the answer. Add any additional comments at the bottom of the form. After you submit the estimate request, it will allow you to submit an additional estimate if necessary. A customer service representative will contact you to help you with any technical details and provide you with a free estimate. If you have a similar or actual sample please mail it to the below address. Thank You.

Part Number

Quantities to Quote
We can quote multiple quantities for price comparison. Usually the higher the quantity the lower the piece price.

Size Radius
Shape
Individual
Sheets
Thermo Cut
Strips
Kiss Cut
*Rolls (Flexo printing only)

Windows, Cutouts or HolesNo Yes
Number and size of windows, cutouts or holes.

Colors4 Color Process Spot Color
Number of Colors on Front
Number of Colors on Back
Please List Any PMS#'s or Other Inks

Material
Sub Surface Printing Inside Window

Adhesive
Permanent Removable Static Cling MagneticNoneUnsure

Finishing
Lamination
Serializing
Split Liner
Varnish or Coating
Numbering
Perforating
Doming
Embossing
Premask

Other Finishing or Details about above Finishing

Product Use and Special Conditions
Indoor Use Outdoor Use Unsure

UL Approved CSA Approved

What type of suface is the decal applied to?
SurfaceRough Smooth Unsure

Durability of Product
1-2 Year 5 Year Other

Artwork
Other Artwork

Bleed Does the printing go off the edge of the material?
Yes No Unsure

Attach Artwork
-Limit 1 attachment per e-mail form.
-If artwork attachment is sent, also fax a paper copy to 608-783-3306. Please include your name, your company name and attention: e-sales or salesperson's name.
-For files larger than 5 MB please mail disk,CD or ask for our FTP site information.
-See Specifications on Sending Artwork for additional information.


Empire has over 15,000 dies in stock of standard shapes and sizes. If we do not have the exact size die, would you like us to also give you an additional estimate with the next closest size we have, if it will reduce costs?
Yes No

Need Finished Product Printed By

Additional Comments, Details or Description:


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Empirescreen

Empire Screen Printing, Inc.
N5206 Marco Road, Onalaska, WI USA 54650-0218
phone 608.783.3301, fax 608.783.3306
www.empirescreen.com

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