Volume Discount

Blisters and Blister Cards Requirements

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Please fill up this form and a customer representative will contact you to customize a plan for your blister and blister cards requirements.
Contact Name :
Company Name :
City, State :
Email Address :
Telephone / Ext. :

Current Blisters Used
Size:	L	W	D
Gauge:
Flange Size:
Material:	PVC Other

Current Blister Cards Used
Size:	L	W
Gauge:
Round Corners:	YES NO
Square Corners:	YES NO
Hanger Hole Type:	Round Butterfly Other
Plain SBS card:	YES NO
Printed SBS card:	YES NO
No. of colors:

Qty of Blister and Blister Cards use

Less than 1,000 per month
1,000 - 5,000 per month
5,000 - 10,000 per month
10,000 - 25,000 per month
25,000 - 50,000 per month
More than 50,000 per month

Blister Equipment Used

ZED
Visualpak
Sentinel
Alloyd
Ampak / Heat Seal
Starview
Other

Additional Details / Comments / Special Requirements:

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