Action on Smoking and Health Personal Pocket Photo Checks Order Form

Order Form

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

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

Shipping Address:	If different from imprint

Special Typestyle:
Check Color:
Start my checks at #:	(#1001 if not indicated)
Blue vinyl cover:	(Free for first order)
Prices:
SINGLE CHECKS 1 Box (200 checks) $15.95		Please Note: Because the majority of our clients now prefer single checks we have discontinued our production of duplicate checks, effective immediately. This decision makes it more economical for you to obtain your personal checks. Should you ever need a picture of your cashed check, your Financial Institution can provide one, simply by requesting it, or printing it out from your on-line banking statement.
2 Boxes (400 checks) $31.90
3 Boxes (600 checks) $47.85
4 Boxes (800 checks) $63.80

Boxes for
Special Typestyle:	$2.00 (optional)
Shipping Charges:(REQUIRED)	$3.00 per Box
Priority Mail (1st box only):	$6.00 (optional)
Subtotal:
Sales Tax:	MD 6%, WA 9%
Grand Total:
Questions? Call Toll-Free Number: 1-800-784-2800

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 21284-9867
(allow 2-3 weeks for delivery)

page updated 1/12/12 by Zephyr Sites