www.CheckExpressNY.com


Order Form

check Order INFORMATION

Qty.
Color View Colors
Style View Styles
Lines On Check Yes    No


Check imprint INFORMATION

Insert text as you wish it to appear on your check. All text will be printed in upper case letters, unless specified in instructions box above. All required fields are marked red.
Customer Imprint Line 1
  Line 2
  Line 3
  Line 4
 
Bank Name
Bank Address
City/State   
Zip
Transit #
If shown, can be found near the bank name
Routing Number 9 digit
Branch # or Name
Account Number
Starting Check #


Double Window envelopes

Style
Qty.

wholesale price list

One on a Page Checks:
Qty. Cost
100 $15.00
250 $25.00
500 $38.00
1,000 $58.00
2,000 $110.00
Each additional 1000 checks $50

3 on a Page Checks:
Qty. Cost
300 $16.00
600 $24.00
900 $30.00
1200 $36.00
   
Each additional 300 checks $5

Double Window Envelopes:
Style Cost
#9 Regular $25 per 500
Self-Seal $42.50 per 500

All Prices are plus freight      

billing INFORMATION

Cust. # For returning customers
Cust. Name
Contact Name
Address
City/State   
Zip
Tel. Number
Fax Number
Email


Shipping INFORMATION

Same as Billing
Co. Name
Contact Name
Address
City/State   
Zip
Click here to calculate shipping costs

Please fax a copy of a voided check, to insure your order is processed accurately. Please include your order # and fax to 718 705-5697, or notify us by email or telephone.