MANUAL CHEQUE ORDER - REDUCE YOUR COST BY 50%

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
Start Number: Signature Lines: Logo: Delivery: Cheque Binder
Same as Voided Cheque 1 line Yes - $15.00 charge Regular (7 - 10 bus. days) 2/Page $24.00

New start # 2 lines email to: orders@chqs.ca Rush (2 bus. days - $25) 1/Page $22.00

Imprint: Black ink on a standard stock Special Colours Proof Required: No Yes

Style & Colour: 2 Cheques/Page 1 Cheque/Page

DARK BLUE TEAL BROWN BURGUNDY

Ultra Security Manual Cheques - With Hologram Foil

WATERMARK IN CHEQUE-HOLD UP TO LIGHT TO VERIFY - RED IMAGE ON BACK FADES WHEN TOUCHED

DATE 001001 001001

SECURITYMICROPRINTSECURITYMICROPRINTSECURITYMICROPRINTSECURITYMICROPRINTSECURITYMICROPRINTSECURITYMICROPRINTSECURITYMICROPRINTSECURITYMICROPRINTSECURITYMICROPR

SECURITYMICROPRINTSECURITYMICROPRINTSECURITYMICROPRINTSECURITYMICROPRINTSECURITYMICROPRINTSECURITYMICROPRINTSECURITYMICROPRINTSECURITYMICROPRINTSECURITYMICROPR

CHEQUES NOW INC.

TO 1234 ANY AVENUE S.W.
ANY TOWN, PROV. 2 0 Y Y M M D D
A1B 2C3 DATE Y Y Y Y M M D D

200 + 100 FREE = 300 $105 600 + 300 FREE = 900 $139
FOR

PAY to
the order of
$
PST AMOUNT BALANCE
FORWARD
100 DOLLARS
THIS
GST AMOUNT CHEQUE YOUR FINANCIAL INSTITUTION
ANY COMPANY IN ANY TOWN

400 + 200 FREE = 600 $124

ANY STREET,

Please call for other quantities

DEPOSIT ANY TITLE
GST NO. YOUR CITY
DEPOSIT
FOR PER
OTHER

*Prices include shipping and handling, Taxes are Extra

BALANCE

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
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 PRINT & SAVE & DESKTOP EMAIL

OFFICE USE
All orders must be accompanied by
a scanned or faxed voided cheque. FAX EMAIL (OUTLOOK / MAIL ETC)

4319 - 54th Ave. S.E., Calgary, Ab T2C 2A2 Tel: 403-269-2661 866-760-2661
www.printnow.ca email: orders@printnow.ca Fax: 403-279-8082 877-760-2435