Pre-Printed Checks Order Form

TABS3
Accounts Payable

Check Information

Name:
Address 1:
Address 2:
City, State, Zip:
Phone #:	Include Phone Number on Check
Email Address:
Fax #:
Reorder? Check this box if this is a reorder. Reorder - It's not necessary to fill out the Bank Account Info fields below.	This is a reorder
Bank Account Info
Bank Name (required):
Bank City, State (required):
Bank Phone Number (required):
Bank Routing Number (9 digits):
Bank Account Number (Please use an 'X' to show a space between numbers and a '-' for a dash):
Bank Fraction Number (ie. 12-34/567):

Type of Check:	TABS3 Accounts Payable
Fade Color Choice
Quantity / Cost:
Starting Check Number
Number of Signature Lines:
Comment to be printed above signature Line (default is blank):
Print Company Logo? (Additional $25 one time fee-- JPG, TIF, PCX 300dpi):

Special Instructions:

Matching Double Window Security Check Envelopes

Security Envelopes Type:
Select Quantity/Price: (Add $8/1,000 for shipping)	(Self-Seal Envelopes Only Sold in Boxes of 1,000)

Shipping Services

Expedite Service:
Shipping Method:	Shipping is additional. Click here for a rate & time in transit chart

Contact Information

Contact Name:
Day Time Phone #:

Payment Information

Pay by direct debiting this account
Bill me with Net Terms (Must have already established account)
Pay by Credit Card
	Credit Card:
	Credit Card #:
	Expiration Date:
	Same Name, Address and Phone Number as above.
	Name:
	Billing Address 1:
	Billing Address 2:
	Billing City, State, Zip:
	Phone Number:

Thank you for your order!

Before submitting your order, why not print a copy of this page for your records?

Fast Turnaround
(Your order will ship 1 day after proof is approved)
800-722-2804 / 404-351-2700