Search:
Advanced search
Customer # Password
New Customer Signup  
Home How to Order Customer Support Order History Careers Contact Us
Home :: Registration Form
Categories
   PRIVATE LABEL
OTC Drugs
Dietary Supplements
Herbals
Skin Care

   CONTROLLED LABEL
'Vita Plus' Vitamins
'Natural' Herbals
'Chamberlain' Skincare

   SALES PROMOTIONS
Bonus Pills Sale
Clearance Items
Back Order Items
New Items
Fast Order
Email Specials
Your order
Cart is empty
View cart
Checkout
Orders history
Our Company
About Us
History
How to order
Customer Testimonials
Private Label Benefits
Controlled Label Brands
What we offer
Career with Us
News

Subscribe
Registration Form
Weeks & Leo
Profile Details
Business information
 
Company *  
Title *  
First Name *  
Last Name *  
Tax number  
Title/Designation *  
DEA Number  
Expires On (MM/DD/YY)  
Billing Address
 
Address *  
Address (line 2)  
City *  
State *  
Country *  
Zip/Postal code *  
 
Contact Information
 
Phone *   - -
E-Mail *  
Fax   - -
Web site  
Sales Rep Option
 
Select if would you like one of our courteous sales reps to service your store?  
Select if you are our sales rep?  
Signup for membership  
Newsletter
 
If you wish to receive our Newsletter, please select the News lists to which you want to subscribe:
  News & Updates
Get the latest product releases and offers.
  Sales Events
Current Sales Promotions
 
 
LABEL REQUEST FORM
 
 
Pharmacy Name:  
City, State and Zip:  
Check the appropriate box of your choice
 
No Custom Logo (Choose one from below) Custom Logo Upload Logo
Standard Logo – where room is available
No logo required at all
$40/ hour
must submit logo proof before time estimate is given
Please indicate below exactly how you would like your label set up:
Label Style Customer Font Color
(Choose One)
Customer Font Type
Name Address
S-1
(red on silver)
Black
Script
Script
S-2
(blue on silver)
Blue
Times New Roman
Times New Roman
W-1
(red on white)
Red
Bold
Bold
W-2
(blue on white)
Green
Arial
Arial
W-3
(green on white)
 
None (part of logo)
None (part of logo)
G-1
(black on granite)
 
 
 
G-2
(black on sunburst)
 
 
 
Custom background style (submit design)
All labels will include: Distributed by (dist.)
Note :
 
Clicking you agree with our "Terms & Conditions"
 
Privacy Statement | Terms & Conditions | Customer Support | Resources
Powered by eWay Corp
Copyright © 2006-2018
Weeks & Leo, Inc.
OTC Drugs Vitamins Herbals Skin Care