SmartCard America

Fax Number:

Your Address:

City:

State:

Zip Code:

Country:

Smart Card:

Chose OneEM4100 CARDEM4102 CARDEM4200 CARDEM4205 CARDEM4305 CARDEM4450 CARDEM4550 CARDINSIDE PicoPass 2KS CardINSIDE PicoPass 32KS CardLEGIC advant ATC512-MP CardLEGIC advant ATC128-MV CardLEGIC advant ATC2048-MP CardLEGIC advant ATC4096-MP CardLEGIC advant ATC256-MV CardLEGIC advant ATC1042-MV CardLEGIC Prime MIM256 CardLEGIC Prime MIM1024 CardLRI2K CardLRIS2K CardSRI512 CardSRIX4K CardUHF EPC Class1 Gen 2 PVC CARDU Code G2 CARDNFC NDEF CARDNFC NTAG203 PVC CARDALIEN HIGGS-3 Gen2 pvc UHF CARDTAG-it Ti2048 CARDTI Tag-it HF-1 Standard CARD, TI256 CARDALIEN HIGGS 3 CHIP UHF METAL TAG RCP8003Icode SLI (SL2 ICS20) CardIcode SLI-L CardSLE5542 Smart CardSLE5528 Smart CardSLE4442 Smart CardSLE4428 Smart CardBlank PVC CardBlank PET CardBlank PVC Magnetic Strip HiCo CardBlank PVC Magnetic Strip LoCo Card

Quantity of Cards:

Type/Size of Cards: Chose OneStandard Credit Card Size (CR80)Point of Sale/Rack CardStandard Card + 1 KeytagStandard Card + 2 KeytagsStandard Card + 3 KeytagsSquare Card + 1 Keytag2 Keytags only3 Keytags onlyCustom Die CutOther (Explain in Comments)

Card Thickness ( Standard is 30 MIL):
Chose One12 MIL15 MIL20 MIL30 MIL40 MIL

Intended Use:
Chose OneLoyalty / Membership CardsPhone CardsHotel Key CardsBusiness CardsCredit CardsInsurance CardsGift CardsID CardsProx / Access CardsOther (Explain in Comments)

Card Stock Color:
Chose OneWhiteGoldSilverBronzeRedGreenBlueOrangeYellowBlackClearFrostedOther (Explain in Comments)

Front / Back:
Chose One4 front / 0 back4 front / 1 back4 front / 2 back4 front / 4 back1 front / 0 back1 front / 1 backOther (Explain in Comments)

Number of Set-Ups (Artwork Versions):

Card Options:

Magnetic Stripe High Coercivity (HiCo)Low Coercivity

Encoding One TrackTwo TracksThree Tracks

Imaging (personalization with name, number, bar code, etc) Signature PanelScratch OffHole Punch

Coating UV - GlossyUV - MatteOverlay