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Please note, only one sample per product, per household

Please type your name & address carefully, remembering to include the correct postcode, as this will be used to label your shipment. Any errors could result in a delay.

	Your Details   Title * Please Select Option Mr Mrs Miss Ms Dr Prof Rev Captain Major Councillir First Name * Last Name * Company Address 1 * Address 2 Address 3 City/Town * County Postcode * Country * Please Select Option UK Austria Belgium Switzerland Czech Rep Germany Denmark Spain Finland France Greece Hungary Ireland Iceland Italy Lichtenstein Lithuania Luxembourg Latvia Monaco Malta Netherlands Norway Poland Portugal Romania Sweden Slovenia Slovakia Turkey Address Type Please Select Option Business Home Home/Business Phone Fax E-mail *

	Your Company   Job Role Please Select Option Accountant/Finance Administrative Assistant/Executive Assistant/Secretary Art Director/Graphic Designer/Illustrator CEO / President/ Vice President or other Executive Clergy Computer / IT Professional Consultant Homemaker Legal Professional Marketeer Office Manager Owner/Partner Purchasing agent or clerk Retired Sales Person/Sales Manager Student Teacher Trainer Writer/Editor Voluntary Worker Other Number of Employees at your Company Please Select Option One Two to nine 10 to 49 50 to 99 100 to 249 250 to 499 500+ Industry Please Select Option Advertising/Public Relations Agriculture/Forestry/Fishing Communications Computer/ Software/ Hardware Construction Consulting Education/Educational Services (private & public) Engineering Entertainment Finance/Accounting Government/Public Sector Insurance Legal Services Management Manufacturing Medical/Health Services Not for Profit Photography Publishing/Printing Private Sector Recruitment Real Estate Retail R & D Transportation Services Travel & Tourism Wholesale/Distribution Others Preferred Stationery Suppier Please Select Option Alpha Office Argos Asda Consortium Corporate Express Costco Cromwell Tools Dixons DSG Dudley Inkwell Dunning Egon Reid Electronics Boutique ESPO GLS Education Hertfordshire County Supplies Jenkinsons Jessops Kent County Supplies Langstean Lyreco Makro Misco Neat Ideas Office 2 Office Office Depot Office World Other Oyez Straker Partners PC World QC RS Components Rymans Staples StatPlus SuperStat Supplies Team Tesco Viking Direct W H Smith White Grove YPO Printer Type Please Select Option Color Laser Printer Black /white Laser printer Inkjet printer Colour Inkjet Dot Matrix printer Avery PLP One at a time label printer (e.g. Dymo, Brother,..) Printer Brand Please Select Option Brother Canon Epson Hewlett Packard Lexmark Samsung Oki Konica Minolta Sony Kyocera NEC Already an Avery User? Yes No     From time to time, Avery would like to send you updates about products, services or special promotions. If you would like to be added to our active customer list, simply click on the box: Avery will never sell your details to another company and we will always make it simple to unsubscribe from our list at any time.   * : mandatory fields