Pacific Northwest Barcode Services
Building Custom Barcode Masters for Books and Products
Custom BARCODE Order Worksheet
Instructions:
  1- Print this page. (Use File > Page Setup option in your browser, then Shrink to Fit Page Width.)
2- Using BLACK ink, fill in BARCODE data for each title or product ordered.
    If Price Code Extension is not desired, or price is over* $99.99, simply leave "Selling Price" field blank.
3- Provide your contact info, then sign and date.
4- Click the "Buy Now" button to go to our secure credit card processing center.
5- FAX this order Worksheet TOLL FREE 24/7 to 888-254-4535 for immediate processing.
6- Please direct any questions to our Production Manager at 866.530.1656, 9-330pm, (PT) M-F
PRICING:
  Custom Built  Barcode Image
$30.00
       eMail Delivery
No Charge!
 
Total
$30.00
DELIVERY: All barcodes are delivered by email at no charge!
We also supply laser printed Camera ready copy which is delivered by First Class Postal Mail, also at no extra charge!
Order printed barcodes or barcode STICKERS here.
Place your order in    1- Print this Work Sheet and add your data.
  2- Click "Buy Now" button (below) to enter our secure credit card processing center.
  3- Record your Confirmation Number in the space indicated, then FAX this Work Sheet
3 
  easy
 steps
BARCODE #1 DATA
 ISBN or UPC:  Selling Price*: $
 Book Title or Product Description:
BARCODE #2 DATA
 ISBN or UPC:  Selling Price*: $
 Book Title or Product Description:
BARCODE #3 DATA
 ISBN or UPC:  Selling Price*: $
 Book Title or Product Description:
BARCODE #4 DATA
 ISBN or UPC:  Selling Price*: $
 Book Title or Product Description:
BARCODE #5 DATA
 ISBN or UPC:  Selling Price*: $
 Book Title or Product Description:
* Price Code Extensions are offered for ISBN Barcodes onlyand are limited to Selling Prices of $99.99 or less. >> more

Discounts!!! are available for orders of more than five barcode images ordered at the same time.
Please call our Production Manager (866.530.1656) for ordering instructions and discounted pricing!
 Your Contact Info:
Order Placed by 

Street Address 
Telephone 
x
City, State, Zip 
  City  State Zip
Email Address 

NOTICE:
Your signatue indicates that you have read and agree with our
TERMS & CONDITIONS.
 
 

 

Please sign here

Date

Confirmation Number