Domaine Label and Trim Inc.

1130 rue Beaulac
St-Laurent, Quebec H4R 1R7
Phone (514) 908-5686, Fax (514) 908-5687

First time customer?   Please follow this link contact us to set up an account or to inquire more information on our products.

Regular customer?   For your convenience, please take the time to fill the bar code order form below.   All information must be entered before the form can be submitted. All fields marked with a "*" are required input (use the tab key or mouse to go to the next field):


*INVOICE TO:

Company Name:
E-Mail:
Address:
City or town:
Province/State:
Postal/Zip Code:
Phone(with area code):
Fax(with area code):

SHIP TO (if not same as invoice address):

Company Name:
E-Mail:
Address:
City or town:
Province/State:
Postal/Zip Code:
Phone(with area code):
Fax(with area code):


Please note only submit one tag name per bar code order .. resubmit for addtional tag name

*Customer Purchase Order #:
Date:
(enter as mm/dd/yy)
*Tag #:
*Tag Name:
*Description:
*Total Tags Required:
Price:
Payment Method:

*Shipping Method:

Comments:


Dept. #

Date Code

Bilingual
COLOUR

Style
Modele

# Pcs.

Sub Class

SKU

UPC

Bilingual
Size

Item Price

Qty.
Req’d

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Key Contact:

Robin Stark