Gates Label Certification Registration
*** IMPORTANT NOTICE - Ensure all controls marked with a red asterisk contain data and your email is formatted correctly. ***
 
 Company Info
 
*Company Name: 
*Gates Supplier Code: 
Plant/Division: 
*Address: 
*City: 
*State / Province: 
*Zip Code / Postal Code: 
*Country: 
Tax Excempt No.: 
 
 
 
 Contact Info
 
*First Name: 
*Last Name: 
Phone Country Code: 
*(Area Code) Phone Number:  ( )  Ext. 
(Area Code) Fax Number:  ( )
*Email Address: 
 
 
 
 Indicate Bar Code Equipment Used To Generate And Verify Your Labels
 
   Labels Are Web Portal Generated:
 
   *Printer:    Make/Model:    Part No.: 
 
    Verifier:    Make/Model:    Part No.: 
 
  Scanner:    Make/Model:    Part No.: 
 
  Software:              Title:     Version: 
 
      Media:          Style:     Material: 
 
 
 
Additional Information 
 
*** IMPORTANT NOTICE - Ensure all controls marked with a red asterisk contain data and your email is formatted correctly. ***
 
    Please contact me regarding purchasing ready made formats, barcode equipment, software, and/or media.
 
 
 Payment
 
  *Number of label formats for Certification:
  Credit Card / Paypal.
  Wire Transfer. ($20 USD Fee Applies)