Order Form
H2-37 Rev. Feb 2020
QUANTITY 250 300 500 1,000 1,500 2,000 Other___________
FORMAT 1 up 2 up Require a Binder
LAYOUT 99-01 99-02 99-03 STUB A B C D
PANTOGRAPH STYLE & COLOUR NUMBER OF PARTS
Basic Blue Green Burgundy Black 1 Part 2 Part (Available only in 2 up and basic pantographs)
Canadiana
Whale (Blue) Wheat (Buff) Bear (Brown) Mountains (Green) Lighthouse (Pro.Blue) Horses (Brown) Train (Black)
Canadiana backgrounds are only available in colours indicated
MANUAL
Basic Security (Bond with Secure Lock - Laser only)
Standard Security Super Security on Pt 1* Hologram*
(Laser & Continuous only) (Laser only)
1 Part 2 Part (white/pink) 3 Part (white/canary/pink)
QUANTITY 250 500 1,000 2,000 5,000 Other___________
IMPRINT COLOUR Imprint in Black Imprint in Black &____________ PMS # to be supplied ____________
PANTOGRAPH STYLE & COLOUR
(Basic Security: Available in standard QE design - Blue, Pro. Blue, Red & Green only)
Basic
Std. Oak Ripple Dunes Colour Blk Blue Ref.Blue Pro. Blue Red Brown Burgundy Green Buff
Linen Diminishing Marble Colour Ref.Blue Brown Burgundy Green
Canadiana
Whale (Blue) Wheat (Buff) Bear (Brown) Mountains (Green) Lighthouse (Pro.Blue) Horses (Brown) Train (Black)
Canadiana backgrounds are only available in colours indicated
SOFTWARE USED FORM No.
LASER - CONTINUOUS
* Additional upcharge
** Canadian Payments Association (www.cdnpay.ca) Please see page 4 and 10 for personal cheque and deposit book order forms.
SHIP TO
Name Phone Contact
Address City Prov. P.C.
Date_____________________________
NEW ORDER EXACT REPEAT
CHANGE REPEAT ___________________________
(Last docket #)
CUSTOMER INFO ON CHEQUE
Name
Address
Address City
Prov. P.C. Phone
SIGNATURE LINES 1 Line 2 Line None
LOGO
None Scan Logo Supplied E-mail Supplied
NUMBERING PROOF No H/Copy
Start At # PDF___________________________________________________
Consecutive MICR number mandatory for CPA**
e-mail address
All laser cheques are boxed face up.
Low number on top unless otherwise specified
Yes Other Boxing ______________
BANK INFO
Bank logo
Name
Address
Address City
Prov. P.C. Phone
MICR NUMBER
Transit #
Routing/Bank #
Account #
Refer to Pg. 1 for MICR ENCODING explanation
REQUIRED ON ALL CHEQUES
ENVELOPES
Please ship ___________________ twindow envelopes with this order
QTY
Security Lined
Twindow envelopes
30A
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