Name:       
  E-Mail:   


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


  Phone:      
  Fax:      



Fold Format: 
		 
		C Fold 
	   	Z Fold 
	   	V Fold     

Qty 1   Qty 2   Qty 3 


Format:
The following formats come with these check 
security features:
   1. Artificial Watermark
   2. "VOID" Pantograph
   3. Chemical Reactants which reacts to
      chlorine type eradicators
   4. Solvents that react to ink based eradicators
   5. Invisible Fibers seen under UV light

   


Paper Format: 
	 
	Multi-Purpose Blue (8 1/2" X 11") 
	Multi-Purpose Red (8 1/2" X 11") 
	Multi-Purpose White (8 1/2" X 11") 
	Checks Blue (8 1/2" X 11") 
	Checks Red (8 1/2" X 11") 
	Checks Green (8 1/2" X 11") 
	Multi-Purpose Blue (8 1/2" X 14")  
          
Approximate Monthly Usage:  

Printer Make & Model: 
   
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