CAMP-NEW-2-SEO Page Title | Avery Dennison

Form Test Frans

First name*

Last name*

Email Address**

Company*

Business Country/Region*

State or Province

Brand Name Samples will be submitted for:*

Select RFID Item Code (use pictures above as reference)*

Item Description*

Barcode (please select one)*

Enter your Barcode No. for your Brand (based on previous answer):*

(Only 5 samples are required for Auburn Lab Approval)

Sample Quantity*

Please enter your shipping information below in English:

Shipping Contact Name:

Contact Phone Number*

Address Line 1*

Address Line 2

City*

Shipping State or Province

Shipping Country/Region*

Postal Code*

How would you like your these items shipped?*

If Other, please specify:

Testing account carrier??*

Would you like your samples expedited? *

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(Standard lead time: 5-7 working days; Expedited: 5 working days)