Replacement Labels Form
Name
*
First Name
Last Name
Business Name
*
E-mail
*
example@example.com
Contact Number
*
Label Type:
Choose your kiosk model
*
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( X )
Updated Model with Built-in Printer
1 Box (8,000 labels)
$
145.00
Boxes
Old Kiosk with External Printer
1 Box (3,200 labels)
$
95.00
Boxes
Shipping Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Payment Option:
*
Request Invoice
Credit Card
Payment Details
*
Cardholder Name
Card Number
MM/YY
CVV
Submit
Should be Empty: