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1	* Name:	Company:	Street Address:
2	City:	State:	Zip Code:
3	* Telephone:	Fax:	* E-Mail Address:
4	Quantity:	Size: please select one Standard Credit Card Other (indicate below)	Other Size:
5	Number of Colors on Front:	Full Bleed:
6	Number of Colors on Back:	Full Bleed:
7	Card Thickness: please select one 20 mill 30 mill	Other Thickness:
8	Type of Finish: please select one UV coated film laminated no lamination (matte finish) other finish (please indicate below)	Other Finish:
9	What type of card material do you want? please select one PVC Teslin	Do you need a magnetic stripe? please select one No Low Coercivity High Coercivity
10	Do you need a signature panel? please select one Yes No	Slot punched: please select one top horizontal top vertical
11	Additional Instructions:

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