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

Shipping Address:
If different from imprint

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

Logo Imprint:
 

No Logo Logo B03 Buy Union Buy American Logo B04 Union Yes Logo B05 Solidarity Custom Logo (see below)
Screened in center of check 
Choose from B03 "Buy Union Buy American",
B04 "Union Yes" or B05 "Solidarity"
or your custom logo ($25 one time charge. See below*)

Logo B04

Logo B05

Check on top (1 check per page) Check in center (1 check per page) Check on bottom (1 check per page) Check Check Check (3 checks per page)

Red Blue Green Gold American Flag
Color selection and prices must match configuration choice

1 2

(#1001 if not indicated)

1 Check Per Page Quantities Price 250 $99.75 per lot 500 $127.05 per lot 1,000 $173.25 per lot 1,500 $244.65 per lot 2,000 $306.60 per lot 2,500 $358.05 per lot 3,000 $405.30 per lot 4,000 $496.65 per lot 5,000 $523.95 per lot 10,000 $987.00 per lot

Check-Check-Check Quantities Price 900 $99.00 1,200 $131.00 1,500 $153.00 1,800 $166.95 2,100 $187.95 2,400 $208.95 2,700 $232.95 3,000 $250.95 For orders over 3000 please call for a quote.

Checks: (Quantity) @(Price per Set) =

*Custom Logo:

Endorsement Stamp:

Two day rush service*:

Subtotal:

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® PO BOX 9867 Baltimore, MD 21286-9867 (allow 2-3 weeks for delivery)