Standard Debit or Credit (CS &DS)
Description
Common format with room for detail
24# White Debit
24#
Pink Credit
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
Multiples of 2000
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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