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 
             
Approximate Monthly Usage:  

Printer Make & Model: 
   
Comments  
    



If you have an existing Pressure Seal check or form
and would like us to quote you a competative price, 
fill in the information above. 

Let us know if you have other needs that we can help 
you with. Check all boxes below that apply:

Better Quality Paper Stock:
   Paper stock curls too much after printing 
      in our laser printer.
   I would like more security features added 
      to our checks. 

Warehousing & Distribution Services:
 I would like the convenience of you warehousing 
    our forms.
 I would be interested in you providing a monthly
    inventory management report on the forms 
    you warehouse for us. 
 I would be interested in you shipping to 
    our different locations as we need them.

Better Pricing:
 I need better pricing for bugetary purposes.   
    Current Qty:  Price: $

Better Form Design:
 I would be interested in re-designing the way 
    we use our form.
 I need a laser cut sheet that has a return 
    envelope incorporated in design.
 Can you design my tax forms as a Pressure Seal 
    form?