Personal Pocket 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

Message Above Signature Line: max. 40 characters

Check Background:
Military Logo:
Start my checks at #:	(#1001 if not indicated)
Vinyl cover:	(Free for first order)
Prices:
SINGLE CHECKS 1 Box (200 checks) $15.95 2 Boxes (400 checks) $31.90 3 Boxes (600 checks) $47.85 4 Boxes (800 checks) $63.80	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.
Charges:
Checks: Boxes for:
Special Typestyle:
Shipping Charges: (REQUIRED)
Priority Mail for first box:	(optional)
Subtotal:
Sales Tax:	MD 6%, WA 9%
Grand Total:
Phone: 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)

Military Personal Pocket Checks
Order Form