easy order - Superior Receipt Book Company

EASY ORDER
1. Ship/Bill To
Imprint Information ❏ Same as Bill To
Firm
Name���������������������������������������������
Firm
Name���������������������������������������������
Street
Address�������������������������������������������
Street
Address�������������������������������������������
City__________________________ State_____ Zip��������
City__________________________ State_____ Zip��������
Phone��������������������������������������������
Phone��������������������������������������������
Contact
Person��������������������������������������������
Contact
Email���������������������������������������������
2. Bank Information Name________________________________________ Phone Number����������������������
❏ Enclosed Voided Check ❏ Enclosed Deposit Slip ❏ Will email voided check or deposit slip to [email protected]
3. Software ��������������������
Choose Product and Quantity
Version �����������������������
Laser Checks
Single Sheets
4. Packaged
❏ Face Up ❏ Face Down
Low Number ❏ Top
❏ Bottom
5. Color Options
❏ ❏ Blue
❏ Green
250
500
1000
2000
Burgundy
Laser Deposit Slips
Single Sheets
500 $45.52 1000 $63.00
Tan
6. Logo ❏ Yes* #___________ ❏ No Logo
*go to www.receipts.com for logo
choices and #s
❏ Enclosed ❏ Emailed to
[email protected]
7. Proof
❏ Yes – $14 each ❏ Reorder–No
proof necessary
8. Starting Number ������������
9. Signature Line(s) ❏ One ❏ Two
Imprint in Signature Area:
�������������������������������
❏ Above Signature Line ❏ Below Signature Line
10. Voucher Imprint
DON'T
FORGET
��������������������������������
��������������������������������
��������������������������������
��������������������������������
Mastercard $�����������
Production $�����������
Visa TOTAL $�����������
*Cancellation Fee $30.34
American Express Discover
Card # |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
(3-4 digit # on
Exp. Date |___|___|___|___| Security# ______ back of card)
Name of Card Holder��������������������������������������������������
Authorized Signature��������������������������������������������������
Proofs
• Digital Proof
emailed
To Expedite Production*
*After Proof Approval
$14 each
All FIRST TIME orders
must receive a proof.
Reorder proof is optional.
•
•
•
•
•
5-Day Standard
3-Day
2-Day
1-Day
Order Cancellation
N/C
$45.36
$75.60
$145.80
$30.24
Basic Laser Checks
��������������������������������
❏ Same as Check
2000 $114.23 Check Enclosed–Check# ___________ Credit Card
$�����������
to enclose or
email voided $�����������
check or Proofs $�����������
deposit slip! Expedite
Choose Payment Method
��������������������������������
11. Deposit Slip Imprint
Add it up
$�����������
$
250
60.27
$
500
80.97
1000 $114.54
2000 $165.39
85
$
111
$
133
$
195
$
Double Window Envelopes
❏ Shipping Included
MI Residents add 6% Sales Tax
•
•
•
•
uantities: Start at 250
Q
Size: 8½" x 11"
Stock: 24# MICR Bond
Packaging: Polywrap
Protected
• 1 -Part Only, White Vouchers
• Perf Positions:
Top & Middle 3½" x 7"
Bottom 4" x 7½"
• Black Imprint & Numbering
Superior Receipt Book, Co., • 215 S Clark St. • PO Box 326 • Centreville, MI 49032-0326
800.624.2887 • 24 Hour Fax 269.467.4541 • www.receipts.com • [email protected]
BASIC LASER CHECKS
Parkay Pantograph
reflex blue,
hunter green (348)
burgundy (209)
tan (465)
Size: 8½" x 11"(Black Imprint Only)
Deposit Slips and Double Window Envelopes also Available
250
500
1,000
2,000
Laser Checks
$85.00
$111.00 $133.00 $195.00
Laser Deposit Slips
$60.27
$80.97
$114.54 $165.39
Double
Envelopes ( Window
)
NA
$45.52
$63.00
Proofs
• Digital Proof-emailed $14 each
THIS DOCUMENT HAS LINEMARKTM LINES IN THE PAPER  HOLD TO LIGHT TO VIEW.
1001
Totalantage
45 SUPERIOR AVENUE
PROSPECT, IL 67890
(123) 456-7890
GREEN WAY BANK
ANYWHERE, U.S.A.
12-345/321
WZTOP-07-15
Quantity
$114.23
Call 800.624.2887
for pricing on
larger quantities.
NON-NEGOTIABLE
AUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORI
SECURITY FEATURES INCLUDED. DETAILS ON BACK.
1001
TotalVantage
All FIRST TIME orders must receive
a proof. Reorder proof is optional.
10 FREE Security Features!
TotalVantage
Thermochromic Ink
1001
EMPLOYEE #
EMPLOYEE NAME
TYPE
RATE
HOURS
SSN
TotalVantage
PAY
EARNINGS
TAXES WITHHELD
DEDUCTIONS
F.I.C.A.
Coin Reactive Ink on Back
EARNINGS
FEDERAL
F.I.C.A. W/H
FED. W/H
STATE W/H
STATE
Warning Band Borders
LOCAL W/H
Microprint on Face
PAY
PERIOD
Microprint on Back
TOTAL
Totalantage
45 SUPERIOR AVENUE
PROSPECT, IL 67890
(123) 456-7890
TOTAL
TOTAL
NET PAY
1001
GREEN WAY BANK
ANYWHERE, U.S.A.
LR2206PK1
LR2207PK1
1001
PRINTED IN U.S.A.
TotalVantage
12-345/321
PAY
WZ409267-08-13
Padlock Icon on Back
TOTAL
THIS DOCUMENT HAS LINEMARKTM LINES IN THE PAPER  HOLD TO LIGHT TO VIEW.
"Non-Negotiable" Phrase on Back
Padlock Icon on Front
1001
YEAR TO DATE
AMOUNT
TO THE
ORDER OF
NON-NEGOTIABLE
AUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORI
Screened Check Back
Artificial Watermark
SECURITY FEATURES INCLUDED. DETAILS ON BACK.
TotalVantage
1001
LR2377PK1
PRINTED IN U.S.A.
LRXXXX
PRINTED IN U.S.A.
THIS DOCUMENT HAS LINEMARKTM LINES IN THE PAPER  HOLD TO LIGHT TO VIEW.
1001
GREEN WAY BANK
ANYWHERE, U.S.A.
Totalantage
1234 Laser Way
Anytown, USA 12345-6789
12-345/321
WZ000000-00-00
• 24# MICR Bond Paper
• Perforations:
3½'' & 7" for Top & Middle Checks,
4" & 7½'' for Bottom Checks
• White Vouchers
• 1 Part Only
• Black Imprint & Black Numbering
• Standard Number Locations, up to
10 digits ascending or descending
• Standard Logo Types,
Screened Logos please
consult Customer Service
• Security Backer, no other
Backprinting or Numbering
1001
TotalVantage
Description
NON-NEGOTIABLE
AUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORIZEDSIGNATUREAUTHORI
SECURITY FEATURES INCLUDED. DETAILS ON BACK.
001001 123456789 9012234567
To ORDER call
800.624.2887
order online at www.receipts.com
or Complete Order Form
mail to: S
uperior Receipt Book Company
215 S. Clark St., PO Box 326
Centreville, MI 49032-0326
215 S. Clark St• PO Box 326 • Centreville, MI 49032-0326
or scan & email to: [email protected]