JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Barcode Label Request Form - DLMC
Request barcode labels for your school. Choose type, quantity, and delivery method. Each set has 100 labels. One request per form, please.
* Indicates required question
Email
*
Record my email address with my response
School Name
*
Your answer
Your Name
*
Your answer
What type of labels do you need?
(Each set contains 100 labels and costs $7.00)
*
Library Manager barcodes (3****) - $7.00 per set of 100
Textbook/Novel Set barcodes (4****) - $7.00 per set of 100
Asset barcodes (5****) - $7.00 per set of 100
Discard Labels (FREE) - Bundles of 25
Other:
How many sets of barcodes do you need?
*
Your answer
Do you need single or double copies of each barcode set?
(Double = 2 copies of each barcode, $14.00 per set)
*
Single copy (1 of each barcode) - $7.00 per set
Double copy (2 of each barcode) - $14.00 per set
School Account Code
(required for billing)
*
Your answer
Delivery Method
*
I will pick up from the DLMC
Please send via the warehouse
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of DCSD.
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report