Two Sided Debit/Credit (CDS)

(To order these items, choose the options for the item, fill out the information at the bottom of this form, and then click the submit button)


 Two Sided Debit/Credit (CDS)

Description
White 24# MICR Bond
Credit Side Red
Debit side black

Size
3 3/8" x 7"

Variable Information:
Bank Name:
City: , State: , Zip Code:
Account Name:
Account Number*:
MICR Encoding (See A 43 spaces)


For multiple lots please put A's in place of account numbers.

Multiple Lot Information:
1. Account Name , Account #
MICR# (ifdifferent from account#)

2. Account Name , Account #
MICR# (ifdifferent from account#)

3. Account Name , Account #
MICR# (ifdifferent from account#)

4. Account Name , Account #
MICR# (ifdifferent from account#)

5. Account Name , Account #
MICR# (ifdifferent from account#)

6. Account Name , Account #
MICR# (ifdifferent from account#)

7. Account Name , Account #
MICR# (ifdifferent from account#)

8. Account Name , Account #
MICR# (ifdifferent from account#)

9. Account Name , Account #
MICR# (ifdifferent from account#)

10. Account Name , Account #
MICR# (ifdifferent from account#)



Special instructions:

Quantities
MICR encoding optional - static only, multiples of 2000:
Non encoded Multiples of 1000

Enter your account information here.

Company Name:
Company ID#:
Name:
E-mail Address:
Phone#:
Purchase order #:
Address:
City:
State: Zip Code:
Comments:

 


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