COMPUTER LASER CHEQUE ORDER - REDUCE YOUR COST BY 25%

CONTACT INFORMATION
M M D D Y Y

Company: Name: Date:

Tel: Fax: Email:
SHIPPING / BILLING
name on
Bill To: cheque if different ->
address
Ship To: on cheque if different ->
ORDER DETAILS

Software: Simply QuickBooks / Quicken ACCPAC PC / ESI Law (Other)

Start Number: Signature Lines: Logo: Boxing: (how are cheques placed in printer)
Same as Sample 1 line Yes - $15.00 charge Standard: Low # on top, face up
New # 2 lines email to: orders@chqs.ca Special: Low # on top, face down

Cheque at: Top Middle Bottom Double Window Envelopes Used? Yes No Proof Needed: No Yes

Imprint: Black ink on a standard stock Special Colours Delivery: Regular (5-7 days) Rush

Marble Pattern Colour Choices Graduated Pattern Colour Choices

Stock:
DARK BLUE TEAL BROWN BURGUNDY SKY BLUE REFLEX GREEN GOLD RED

Ultra Security Laser Cheques - With Hologram Foil Double Window Envelopes Double Window Self - Seal
250 + 75 FREE $134 1000 + 250 FREE $272 250 $36.00 1000 $ 90.00 250 $40.00 1000 $105.00
500 + 125 FREE $178 2000 + 500 FREE $415 500 $55.00 2000 $146.00 500 $65.00 2000 $170.00
Please call for other quantities *Prices exclude shipping & GST

Deposit Slips: 2 Copies 100 $30.00 200 $47.00 300 $62.00 3 Copies 100 $34.00 200 $53.00 300 $67.00
ORDER TYPE

Express Order Order with Changes Special Design

Black ink, standard stock & design. Black ink, standard stock & design. Custom colours, design & background.
Printed the same as your sample. Printed as on your sample, with changes. Send your details. We will contact you.
We will take all information from your faxed sample cheque / Bank specification sheet. Please ONLY fill in different or additional details.
C B
O A
M N
P K
A
N
Y
Phone # Fax # Web
Enter account number here, omit spaces and these symbols  
  
METHOD OF PAYMENT
YOUR CREDIT CARD WILL ONLY BE CHARGED AFTER YOUR ORDER HAS BEEN SHIPPED PURCHASE ON ACCOUNT? PLEASE CALL

Card No. Visa M/C

Name on Card (Print) Expiry Mo / Year /
Signature Airmiles Collector #
My signature or typed name authorizes Cheques Direct Ltd, to manufacture my order and charge my credit
card above. I confirm that I have the authority to place this order and make the type of payment indicated.

SUBMIT ORDER OFFICE USE

PRINT & SAVE & DESKTOP EMAIL
All orders must be accompanied by
a scanned or faxed voided cheque. FAX EMAIL (OUTLOOK / MAIL ETC)

4321 A - 54th Ave. S.E., Calgary, Ab T2C 2A2 Tel: 403-269-2661 866-760-2661
CHEOUES www.chqs.ca email: orders@chqs.ca Fax: 403-279-8082 877-760-2435