VisiCom Custom ID labels Fill in either the column by sleepnow

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									                                          VisiCom Custom ID labels
        Fill-in either the 2-column or 3-column blank to meet your needs, and include your name,
         fax number and your mailing address. Please fax the completed form to (402) 734-6815.
               A proof will be returned to you with information regarding available label sizes
                                           for you to choose from.

                                                  Example
              2 column (for up to 8 locations)                         3 column (for up to 16 locations)

        NAME                          LOCATION           NAME                LOCATION                              LOCATION
1 Dr.                         A Lab                  1 Dr.               A Lab                                I
2 Nurse                       B Sterilization        2 Nurse             B Sterilization                     J
3 Hygiene                     C Exam 1               3 Hygiene           C Exam 1                            K
4 Assistant                   D Exam 2               4 Assistant         D Exam 2                            L
5                             E                      5                   E                                  M
6 Personal Call               F                      6 Personal Call     F                                   N
7 X-Ray                       G                      7 X-Ray             G                                   O
8 Running Late                H                      8 Running Late      H                                   P




                                                 Fill-in below
              2 column (for up to 8 locations)                         3 column (for up to 16 locations)

        NAME                          LOCATION           NAME                LOCATION                              LOCATION
1                             A                      1                   A                                    I
2                             B                      2                   B                                   J
3                             C                      3                   C                                   K
4                             D                      4                   D                                   L
5                             E                      5                   E                                  M
6                             F                      6                   F                                   N
7                             G                      7                   G                                   O
8                             H                      8                   H                                   P


    Name

    Company

    Address
    City ST Zip

    Phone
    Fax


                                                                                         [6] C:\GDH\File\Nu_ID_Lb.fp3 (Application Form) 02-01-2007
                                                                                    United Communications, Inc. · Omaha, NE USA · 1-800-228-3400

								
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