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Custom Label Order Form

Welcome to the custom label order form. Please make sure to fill out all the required fields, sign, and hit submit.

Please note, your first custom label order will take 4-6 weeks, due to custom plate production.

Once you approve the custom label proof, the plate will be made, and it will take 3 weeks from approval from shipment.

The following custom label orders after that will only take 3 weeks.

Custom Label Order Form

Need a Logo? (if so, check one from the following choices)

If you want to use your pharmacy logo, please click "Browse" to upload.

COLOR(S) - Up to "3" ink colors are available for your printed label (NOTE - The more colors you choose, the higher the cost per order).

Please list additional information regarding your order

Sign and date before submitting your order