Military InkJet/Laser Checks Order Form

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

Check Configuration:

Software:

Other Software:

Version:

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

Your Name:

Daytime Phone:

Email Address:

Imprint Name:

Max imprint 5 lines w/ 40 characters and spaces per line:

Shipping Address:

If different from imprint

Logo Imprint:

Check Background:

Start my checks at #:

(#1001 if not indicated)

Prices:

Special Typestyle:

Signature Lines:

Custom Logo:

$25.00 (optional and only on first order)

Endorsement Stamp:

(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)

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

Sales Tax:

MD 6% WA 9%

Grand Total:

How to order:

Enclose a voided check or reorder form from your existing check supply marking any changes as needed.
Enclose a deposit slip from your existing checking account.
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)

CHECKSMART
P.O. Box 9867
Baltimore, MD 21286-9867
Toll-Free Number: 1-800-784-2800
info@micrprint.com

page updated 6/1/10 by Zephyr Sites