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*Name

*Company

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*Street Address

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Product to be packaged

Please generally describe type of product desired (ex., bag, shape, sleeve, zipper rollstock, film rollstock, etc.)

Type of material desired, if known (ex., LDPE, PPE, BOPP, Laminate, blend, etc.)

If printed, how many colors?

Type of closure required (ex., press-to-close zipper, slider zipper, tape closure, none, etc.)

How would you like the finished product packaged (ex., bulk packed, retail carton, overwrapped, etc.)

Additional Information or Comments

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INTEGRA Zipper Application Systems