info@micrprint.com
Toll-Free Number: 1-800-784-2800

Custom Printed
Continuous Checks Order Form

Your Name:
Daytime Phone:
Imprint Name: Max imprint 5 lines w/ 40 characters and spaces per line:

 

Shipping Address: If different from imprint
 

Software:

* Please send us a sample copy of
the check format you are ordering.

Version:   
Logo Imprint: Logo imprint available in upper left corner next to name only
Special Typestyle:
Check Color:

Signature Lines:
Start my checks at #: (#1001 if not indicated)
Configuration:

Prices:

Plies
250
500
1,000
1
$63.00/lot
$78.75/lot
$110.25/M
2
$84.00/lot
$115.50/lot
$173.25/M
3
$90.50/lot
$136.50/lot
$210.00/M

Plies
2,000
3,000
4,000
5,000
1
$84.00/M
$78.75/M
$73.00/M
$68.25/M
2
$141.75/M
$126.00/M
$115.50/M
$105.00/M
3
$173.25/M
$157.50/M
$147.00/M
$136.50/M

Over 5000 please call Toll-Free Number: 1-800-784-2800 for quote


(Quantity) @ (Price per Set)  
Special Typestyle: $2.00 (optional)
Custom Logo: $25.00 (optional and only on first order)
Endorsement Stamp: $13.95 (optional)

Deposit Tickets:

(Available in Single Only) imprinted.

Double Window Envelopes:

Two day rush service*: $45.00 additional *Standard Production time is four days plus
delivery. Includes UPS blue label upcharges.
Subtotal:
Shipping Charges: (REQUIRED) (use shipping chart below)
Subtotal:
Sales Tax: MD 6%, WA 9%
Grand Total:

Shipping Prices Chart:


Order Price

Shipping
$0 - $50
$51 - $100
$101 - $150
$151 - $200
$201 - $300
$301 - $400
$401 - $600
Over $600
$22.00
$27.50
$33.00
$38.50
$49.50
$55.00
$66.00
$99.00

*(Alaska, Hawaii, Puerto Rico, and US Virgin Islands, please call for shipping rates at: Toll-Free Number: 1-800-784-2800)

How to order:

  1. Enclose a voided check or reorder form from your existing check supply marking any changes as needed.
  2. Enclose a deposit slip from your existing checking account.
  3. Complete, print, and enclose this order form with your check payable to "MICRPrint Inc." to:

CHECKSMART / MICRPrint Inc
P.O. Box 9867
Baltimore, MD 21286-9867
(allow 2-3 weeks for delivery)

Micrprint custom printed micr-encoded bank checks and forms

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