Custom GHS Labels [GPPS] Order Form Date 1 Distributor Info Customer Info Distributor Distributor Contact Acct. # Phone/Fax Email PO to Panduit First Name Last Name Company Phone/Fax Email PO to Dist. 2 Size Options Clear GHS Symbols Size A Size B Size C Size: 2.0" x 4.0" Size: 4.0" x 4.0" Size: 4.0" x 6.0" Corrosion Exploding Bomb Health Hazard Environmental Hazard Flames Flame Over Circle Skull & Crossbones Gas Cylinder Exclamation Mark Your logo here All GHS labels conform to OSHA CFR 1910.1200 standard | Minimum order quantity: 10 Size Number of Diamonds 1 2 3 4 5 6 7 Part No. Qty Corrosion Environmental Hazard Exclamation Mark Exploding Bomb Corrosion Environmental Hazard Exclamation Mark Exploding Bomb Corrosion Environmental Hazard Exclamation Mark Exploding Bomb Corrosion Environmental Hazard Exclamation Mark Exploding Bomb Corrosion Environmental Hazard Exclamation Mark Exploding Bomb Corrosion Environmental Hazard Exclamation Mark Exploding Bomb Clear Clear Clear Clear Clear Clear Total Pieces Note: be sure to clear all unused rows before attempting to email this form. I acknowledge that the legends above are typed exactly (UPPERCASE and lowercase) as they should appear on the final product. 3 Order Submission [email protected] 800-777-3300 708-532-1811 Save Orders cannot be returned or cancelled. Distributors, please submit this form to Customer Service with your Purchase Order. Email Print Thank you for your order. We appreciate the opportunity to serve your identification needs. GA2-0163 Approved by: MJPF 23 OCT 13 www .p a nd uit .c om