Action on Smoking and Health
Personal Pocket Checks

Printed on your choice of background colors:
blue, gold, or rainbow, (blue, gold, red & green in each checkbook).
Each box of checks helps benefit ASH.

Action on Smoking and Health Personal Pocket Checks
Ordering Information: Please type your name and
address as you would have appear on your checks.
Four lines, maximum 40 char. per line.		 Type Style:

Standard Block (no extra charge)
Italic
Classic
Calligraphic

Shipping Information: Checks will be shipped
to the address on the checks unless otherwise
indicated in the box below.

Check Color:

blue

gold
rainbow

Check Prices:

One Part Checks:

1 Box    (200 cks) $14.95
2 Boxes (400 cks) $29.60
3 Boxes (600 cks) $44.85
4 Boxes (800 cks) $59.80

Duplicate Checks:

1 Box     (150 cks  $15.95
2 Boxes (300 cks) $31.90
3 Boxes (450 cks) $43.85
4 Boxes (600 cks) $63.80
Check Starting Number
(#1001 will be used if not specified):
Amount for Checks
(See prices at left):

Special Typestyle
add  $2.00 per box:
Shipping & Handling (Required) add $2.75 per box:
Priority Mail (Optional, 1st Box Only) add $6.00:
Sales Tax: MD 6%, WA 9%
Grand Total:

 

 

 

Instructions:
Fill out this Order Form
Print this Order form and enclose a Voided Check or Reorder Form, Marking Changes as Needed.
Enclose a Deposit Slip from existing Checks
Mail Your Payment and this Order Form to:

Any Questions? Call Toll-Free Number: 1-888-864-6625

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The Union Shop™ | PO Box 9867 | Baltimore, MD 21286-9867 | Toll-Free Number: 1-888-864-6625 | Email Us
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