Page 21 - Canada 2017

Dividers with
CUSTOM IMPRINT DIVIDER FORM
Position#:_____________________ Tab Color (if paper divider)_________________ Bank #:_______________________ Divider Color (if poly):______________________
Page ______ of ________
Our POLY Custom Dividers are available in 24 standard colors, see page 19. Simply provide us with the following information and we’ll do the rest:
1. Tab Cut (size)
2. Number of Tabs in each bank
3. Side-Opening or Top-Opening Style 4. Position, Color and Title for each Tab
13 characters/line in 9th cut - Need more space call
us at 800-265-6613
5. Minimun Order 25 sets or 25 single dividers per title 6. Please remember that overruns up to 10% will be
shipped/charged at the agreed price 7. Custom sets ARE NOT RETURNABLE!
SEND THIS PAGE WITH ORDER FORM
Position#:_____________________ Tab Color (if paper divider)_________________ Bank #:_______________________ Divider Color (if poly):______________________
Position#:_____________________ Tab Color (if paper divider)_________________ Bank #:_______________________ Divider Color (if poly):______________________
Position#:_____________________ Tab Color (if paper divider)_________________ Bank #:_______________________ Divider Color (if poly):______________________
1. TAB CUT:______________________________________ NUMBER OF SETS:_____________________________ FLAG PAGE: rNo rYes, position # _____ in set QUOTED PRICE PER SET:________________________ BODY PRINT: rNo rYes
Position#:_____________________ Tab Color (if paper divider)_________________ Bank #:_______________________ Divider Color (if poly):______________________
(must provide camera ready art work or digital file) 2. Number of tabs in BANK (row) 1:__________ Number of tabs in BANK (row) 2:__________ Number of tabs in BANK (row) 3:__________
3. TAB PLACEMENT: r SIDE Tabs r Bottom Tabs DIVIDER STYLE: r SIDE Holes r Top Holes
4. TAB TITLES, COLORS and POSITIONS indicate below.
Position#:_____________________ Tab Color (if paper divider)_________________ Bank #:_______________________ Divider Color (if poly):______________________
START HERE:
Position#:_____________________ Tab Color (if paper divider)_________________ Bank #:_______________________ Divider Color (if poly):______________________
Position#:_____________________ Tab Color (if paper divider)_________________ Bank #:_______________________ Divider Color (if poly):______________________
Position#:_____________________ Tab Color (if paper divider)_________________ Bank #:_______________________ Divider Color (if poly):______________________
Position#:_____________________ Tab Color (if paper divider)_________________ Bank #:_______________________ Divider Color (if poly):______________________
Position#:_____________________ Tab Color (if paper divider)_________________ Bank #:_______________________ Divider Color (if poly):______________________
Position#:_____________________ Tab Color (if paper divider)_________________ Bank #:_______________________ Divider Color (if poly):______________________
Name of Facility:_____________________________________________________________________ Date ______________________ Person placing order:___________________________________ Signature:_________________________________________________
PHONE: 1-800-265-6613 | FAX: 1-800-760-1454 | EMAIL: info@firsthealthproducts.com | www.firsthealthproducts.com 20