Application Evaluation Forms

DALEMARK CODING EVALUATION FORM

DALEMARK CODING EVALUATION FORM

Prepared by: *

Date:

Customer: *

Rep: *

Address: *

Contact: *

Title: *

Phone:

Fax:

Customer Products:

E-mail: *

INDICATE IN SPACES PROVIDED BELOW: Dimensions of your container or product, space between containers on the line, direction of travel, surface you wish to mark, size and location of continuous or accurately located imprint you require. Space is also provided for you to sketch in special shapes which are not shown, and other information, which when filled in, will help Dalemark evaluate your problem and make recommendations.
product information

Description of Imprint

Information to be imprinted: *

No. of lines of type desired: *

If special design or trademark submit sample:

Sample*

Color of ink desired (Not Req'd for Laser Applications): *

No. of imprints on container or product: *

No. of imprints per hr.: *

Miscellaneous Information

Weight of container at time of imprint: *

Kind of surface/material to be marked: *

If plastic, glass, metalic, waxes or varnished please submit sample:

Sample*

Specify surface condition at the time of imprint.

Clean, Oily, Dusty, etc.: *

Specify when imprint is to be applied:

Speed of conveyor in ft./min.: *

Type of conveyor: *

If imprinting equipment is to be installed in packaging equipment, specify name, type, serial no., model and other pertinent information.

Additional Comments/Notes: *

*

DALEMARK LABELER EVALUATION FORM

DALEMARK LABELER EVALUATION FORM

Please complete this form with the correct parameters

Name: *

Date:

Company: *

Phone:

E-mail: *

Product Name: *

Product Specs

L x W x H: *

Circumference: *

Weight: *

Material: *

Shape: *

Usage - Hrs./Week: *

Condition: Wet, Filled, Capped, Etc.:*

Panel to be labeled: *

Label Placement Tolerance: *

Label Unwind Required 1, 2, 3, or 4: *
labeler unwind

Label Specs.

L x W: *

Roll Size: *

Material: *

Shape: *

Type of Applicator:

Product Handling

Conveyorized/Type: *

Continuous or Intermittent/Dwell: *

Speed: Ft./Min. CPM: *

Spacing: *

Direction of Travel (lift to right, up & down): *

Input (Automatic or Semi-Automatic): *

Applicator to be mounted to: *

Printer Specs.

Bar Code? Specify: *

Consecutive Number?: *

General Info

Bar Code Reader Required?: *

Desired Price Range: *

Competition: *

Estimated Start Up Date: *

Label Sample Included?:

Product Sample Included?:

Additional Comments/Notes: *

*

DALEMARK CODING EVALUATION FORM

DALEMARK LABELER EVALUATION FORM

DALEMARK OFF-LINE EVALUATION FORM