Name:       
  E-Mail:   


  Company:    
  Title:    
  Address:  
            
  City:      St: 
  Zip:       


  Phone:      
  Fax:      


Fold Format: 
		 
		C Fold 
	   	V Fold     

Qty 1   Qty 2   Qty 3  

Paper Size:   
	 
	Laser - Letter (8 1/2" X 11") 
	Laser - Legal (8 1/2" X 14") 
	Continuous - Letter (9 1/2" X 11") 
	Continous - Legal (9 1/2" X 14")  

Paper Stock:  
	 
	24# Laser Bond 
	24# Check Security Paper 


If (#24) Check Security Paper is selected above:
      Security Stock: 
	 
	Premium Security 
	High Security 
      MICR Encoding:  
	 
	Static MICR Only 
	Static & Consecutive MICR 
      Arabic Number:  
	   
	  One 
	  Two 
      Control Number: 
	   
	  Back 
	  Front 

Glassine Window: Window Size: 
   Position: Inches from Left    Top 
             
Approximate Monthly Usage:  

Printer Make & Model: 
   
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