Continuous Checks Order Form

Your Name:

Daytime Phone:

Union Name:

Local Number:

Imprint Name:

Max imprint 5 lines w/ 40 characters and spaces per line:

Shipping Address:

If different from imprint

Software:

* Please send us a sample copy of
the check format you are ordering.

Version:

Logo Imprint :

Logo available in upper left corner next to name only

Special Typestyle:

Check Color:

Signature Lines:

Start my checks at #:

(#1001 if not indicated)

Configuration:

Prices:

Plies	250	500	1,000
1	$63.00/lot	$78.75/lot	$110.25/M
2	$84.00/lot	$115.50/lot	$173.25/M
3	$90.50/lot	$136.50/lot	$210.00/M

Plies	2,000	3,000	4,000	5,000
1	$84.00/M	$78.75/M	$73.00/M	$68.25/M
2	$141.75/M	$126.00/M	$115.50/M	$105.00/M
3	$173.25/M	$157.50/M	$147.00/M	$136.50/M

Over 5000 please call Toll-Free Number: 1-888-864-6625 for quote

(Quantity) @

(Price per Set)

Special Typestyle:

$2.00 (optional)

Custom Logo:

$25.00 (optional and only on first order)

Endorsement Stamp:

$13.95 (optional)

Deposit Tickets:

(Available in Single Only) imprinted.

Double Window Envelopes:

Two day rush service*:

$45.00 additional

*Standard Production time is four days plus
delivery. Includes UPS blue label upcharges.

Subtotal:

Shipping Charges:

(use shipping chart below)

Subtotal:

Sales Tax:

MD 6%, WA 9%

Grand Total:

Shipping Prices Chart:

Order Price	Shipping
$0 - $50 $51 - $100 $101 - $150 $151 - $200 $201 - $300 $301 - $400 $401 - $600 Over $600	$22.00 $27.50 $33.00 $38.50 $49.50 $55.00 $66.00 $99.00

*(Alaska, Hawaii, Puerto Rico, and US Virgin Islands, please call for shipping rates at: Toll-Free Number: 1-888-864-6625)

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 in payment to:

The Union Shop®
P.O. Box 4904
Baltimore, MD 21220

(allow 2-3 weeks for delivery)

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page updated 6/8/12 by Zephyr Sites