Our P.O. number is .  Please send the purchase order to:  Attn: Dorothy Frechette, East Bay Educational Collaborative, 317 Market Street, Warren, RI 02885.
this form constitutes our order, and no purchase order will follow

Barcode size: 2" x .75" with rounded corners Style barcode: 3 mil white poly Barcode symbology: Code 39, Mod 43 Description:  Single barcode label with small separate eye-readable label Price: $35 per thousand.

Labels can include, or not include, the additional small eye-readable label shown in the sample above.  Please click in the appropriate box below to indicate your choice:

Please send single bar code labels.  Please include the second eye-readable label.

School name to be printed on the bar code labels: 

1st digit is 3 (type indicator, materials)    1st digit is 2 (type indicator, patrons)

3-letter LORI code:      (If you are using a fourth and/or fifth letter or number, write them in on the left side of the line below, and fill with zeroes as needed to the left of your desired starting number.  If your school is a member of the statewide library network, your 3-letter code should be listed on the OLIS web site at http://www.lori.state.ri.us/loripro/delivery/search.asp.  If your school is not a member of the statewide library network, a code may have already been assigned - please look for your school code at http://www.lori.state.ri.us/loripro/delivery/reservc.asp.  If you need to have a 3-letter LORI code assigned for your school, contact Chaichin Chen at OLIS: cchen@gw.doa.state.ri.us.)

Begin barcode numbering with                  (Fill to the left of the starting number with zeroes.  Example:     0     0     0     0     0     0     0     0     1  )

Number of rolls ordered:  (each roll contains 1,000 labels) at $35 per roll equals total cost of  $ (Please fill in the correct total.)

Name of person submitting order
Telephone number
Email address
School
School Address
City State    Zip -

This is our order sheet of .

Date of Request / / 2007 2008 2009   

Please remember to send in your purchase order if a PO is required by your district.