Quantity   25   100   250   500 1000
Cost  FREE 7.50 18.75 37.50 75.00
 
   Checks with Standard Mail Delivery
Standard Total 2.50 11.00 23.00 42.75 83.25
 
   Checks with Priority Mail Delivery
Priority Total 3.20 11.60 25.60 48.25 96.50
 




Free personalized form available for registered software users
 
   Accept Checks Only       Accept Checks and *Credit Cards
Quarterly - $ 3.33 mo. 9.99 9.99 9.99 9.99 9.99
 
Check Security Features: (1)  ODT™ "VOID" Copy Protection on Colored Pattern Background, (2) Micro-printed Side Borders, (3) Warning Bands, (4) Artificial Watermarks on back, and (5) Micro-printed Endorsement Lines. Some free checks may not have security features.  FREE Checks are included with each order. *Requires Merchant Account.



  Your Name
  Organization
  Street Address
  Suite, Floor, etc. 
  City
  State / Province
  Postal Code
  Country
  Phone Number
  Fax Number
  E-Mail Address
  Comments



 
  Card Number
  Type of Card
  Name on Card
  Expiration Date
  Amount
  Statement Address  
  Postal Code
  Phone Number



Enter Account Name Upper Fraction Check No.
Street Address Lower Fraction  
City, State, Zip   Date
Area Code and Phone Number    
Pay to the Order ofPay to $
Enter Bank Name    
Street Address    
City, State, Zip  
Area Code and Phone Number    
     
Memo Area 9 Digit Routing NumberAccount Number (include dashes and spaces)
 

 

Submitter's Full Name

Submitter's E-Mail Address




Submitter represents that he or she is authorized to guarantee payment for this order (1) by bank draft from the above checking account, or (2) by credit card using the account submitted above.

___________________________________________________________

Mail your order to:

Free Check Offer
Fulfillment Center - Box 186
Newtown, PA 18940

Order by phone: 1-215-598-9317