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Label Request Form

Please complete and submit this form to request customized labels for your insect collection.  You will receive a strip of 30 labels for each locality you enter.

Submit the form as many times as necessary if you want more than three types of labels.


(nearest post office)
County State
Locality #1
Locality #2
Locality #3


Your Last Name:  
Your first two initials:  
Your E-mail: