High Res Solutions Sample Request From
 
 
Customer Information
First Name:
Last Name:
Company:
Mailing Address:
Address 2:
City:
State:
Zip Code:
Country:
Phone Number:
Fax Number:
E-Mail Address:
Website:
How did you find us?
Type of Business:
 
Equipment Information
Laser Printer:
Inkjet Printer:
Heat Press:
Dye-Sub Printer:
Other:
 
Special Notes

* Transfer Paper & Specialty Media sample packs are $5.00 each. Each pack contains 3 sheets, and the $5.00 will be credited to your first order of that media.

This form is not secure. If you do not feel comfortable sending your credit card information via e-mail, you can call us at
1-800-640-2768 to give us the payment information. Samples requiring payment information will not be shipped until required information has been recieved.
Credit Card Information
Name on Card:
CC Number:
CC Expire:
CC Address:
CC Address 2:
CC City:
CC State:
CC Zip:
 
Free Sample Pack(s) Amount
Clear Glossy Inkjet Film (CG)
Premium 4 Mil Laser Film (P4M)
Translucent Laser Vellum (LV)
Color Bright (CB)
Text Print Dye-Sub Paper (Tprint)
True Pix Dye-Sub Paper (Tpix)
Humid-Safe (HS)
Printed Sample(s) / Demo(s) Amount
Printed Positive (CGP)
Printed Dye-Sub Transfer
Mouse Pad
Swatches
Transfer Paper Samples * Amount
Jet Wear Hot Peel (JW HP)
Jet Wear Cold Peel (JW CP)
Jet Wear Dark (JW D)
Transfer Wear Premium (TW P)
Transfer Wear Brilliant (TW B)
Transfer Wear UltraSoft (TW US)
Transfer Wear Econo (TW E)
Transfer Wear CLP (TW CLP)
Transfer Wear CL (CL)
Transfer Wear Dark (TW D)
Specialty Medias * Amount
High Gloss Photo Paper (HG)
Satin Gloss Photo Paper (SG)
Masterpiece Matte Canvas (MC)
Masterpiece Gloss Canvas (GC)
Clear Glow Ad-Back Vinyl (CV)
Ultimate Gloss Ad-Back Vinyl (GV)
Ultimate Matte Ad-back Vinyl (MV)
DuraGloss Scrim Vinyl (GSV)
DuraMatte Scrim Vinyl (MSV)
Radiance Backlit Film (BF)
Cling-On Static Cling Film (SC)
Rip Resist Banner Paper (RR)
Literature Amount
Unisub Literature
 

Asp scripting is freeware by CGIware