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Text File  |  1993-06-10  |  5KB  |  88 lines

  1.                     
  2.                  D E L U X E   C H E C K   O R D E R   F O R M           
  3.    ___
  4.   |_4_|                                       Compatibility Code = T-08467
  5.    _______________________________________________________________________
  6.   | Product |  Quantity  |  Number  |  Background   |  Starting  | Price  |
  7.   | Number  |            | of Parts |  or Ink Color |   Number   |        |
  8.   |_________|____________|__________|_______________|____________|________|
  9.   |         |            |          |               |            |        |
  10.   |         |            |          |               |            |        |
  11.   |_________|____________|__________|_______________|____________|________|
  12.   |         |            |          |               |            |        |
  13.   |         |            |          |               |            |        |
  14.   |_________|____________|__________|_______________|____________|________|
  15.   |         |            |          |               |            |        |
  16.   |         |            |          |               |            |        |
  17.   |_________|____________|__________|_______________|____________|________|
  18.   |         |            |          |               |            |        |   
  19.   |         |            |          |               |            |        |
  20.   |_________|____________|__________|_______________|____________|________|
  21.   |                                         |                    |        |
  22.   |ATTENTION ALL CHECK ORDERS:              |   EXTRA CHARGES *  |        |
  23.   | Enclose a sample of the check you       |____________________|________|
  24.   | are now using with "VOID" written       |                    |        |
  25.   | across it.                              |       SUBTOTAL     |        |
  26.   | For new accounts, enclose a MICR        |____________________|________|
  27.   | encoding form obtained from your        |                    |        |
  28.   | financial institution.                  |        TAX **      |        |
  29.   |                                         |____________________|________|
  30.   |                                         |                    |        |
  31.   |                                         | THANK YOU - TOTAL  |        |
  32.   |_________________________________________|____________________|________|
  33.   |    PLEASE NOTE: Extra charges below are per product                   | 
  34.   | * $4.75 CHARGE for using standard logos available from Deluxe         |
  35.   |LOGO ARTWORK                                                           |
  36.   | * $40.00 Charge for your own logo (new order)                         |
  37.   | * $25.00 Charge (a $15.00 savings)                                    |
  38.   |                                when you provide camera ready artwork. |
  39.   | * $5.00 Charge for your own logo (re-order)                           |
  40.   | * ANTIQUE & MONTEREY DESIGN CHECKS - Add $14/thousand                 |
  41.   |                                           (500 order, also add $14.00)|
  42.   | ** We are required to charge you state, county or local sales tax     |
  43.   |    where applicable.  Illinois residents are required to pay a 3.375% |
  44.   |    sales tax.  Government regulations require that we charge your     |
  45.   |    state tax.  Prices subject to change without notice.               |
  46.   |_______________________________________________________________________|
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  61.                  D E L U X E   C H E C K   O R D E R   F O R M           
  62.     ___
  63.    |_5_|                                       Compatibility Code = T-08467
  64.    
  65.    PAYMENT OPTIONS: 
  66.  
  67.    ___  Check or Money Order Enclosed, made payable to Deluxe Computer Forms
  68.    
  69.    ___  Visa         ___ MasterCard       ___ American Express
  70.    
  71.    _________---_________---_________---_________    _______ /_______/_______
  72.                   Account Number                         Expiration Date
  73.    
  74.    Signature:_______________________________________________________________
  75.    
  76.    -------------------------------------------------------------------------
  77.     ___
  78.    |_6_|
  79.    
  80.    INFORMATION TO BE PRINTED: (if possible, enclose printed sample showing
  81.                                correct name and address)                  
  82.  
  83.    _________________________________________________________________________
  84.  
  85.    _________________________________________________________________________
  86.  
  87.    _________________________________________________________________________
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