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REORDER Express Cheque Re-Order Form
How Would you like to input
your Cheque Information?
Upload Image of current Manual Cheque. We will match the company name, Account # and Bank Details
Manually enter Manual Cheque information
Select Quantity & Price
Quantities & Prices $0.00
50 + 25 Free $90.00
100 + 50 Free $115.00
200 + 100 Free $135.00
400 + 200 Free $159.00
600 + 300 Free $178.00
1200 + 600 Free $268.00
1800 + 900 Free $358.00
200 Duplicates 2 per page $139.00
500 Duplicates 2 Per Page $174.00
1000 Duplicates 2 per page $265.00
2000 Duplicates 2 per page $454.00
NO CHEQUES NEEDED $0.00
Input Contact Info & Choose Cheque Layout
1 - Contact Information
(Will Not Appear On Cheque)
Company Name
*
:
First Name
*
:
Last Name
*
:
Phone
*
:
Email
*
:
Question / Comments:
2 - Cheque Design
Select cheque layout
One Per Page Manual Cheque
Two Per Page Manual Cheque
Cheque Color А
Input your Billing & Shipping Information
3 - Billing Details
Select Method of Payment
Direct Debit
Visa
Mastercard
I verify the bank account # I entered is correct, and authorize you to Debit the account for the Total Order Amount & will pay any NSF charges if I entered my account # incorrectly, or if there are not sufficient funds in the account.
Must match name on Credit Card
Expiry Month:
Jan - 01
Feb - 02
Mar - 03
Apr - 04
May - 05
Jun - 06
Jul - 07
Aug - 08
Sep - 09
Oct - 10
Nov - 11
Dec - 12
Expiry Year:
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
Please call me for my Credit Card Number
Company name
*
:
First name
*
:
Last name
*
:
Address 1
*
:
Address 2:
City
*
:
Province
*
:
--Canada Provinces--
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
--USA States--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal Code
*
:
Phone
*
:
Email
*
:
4 - Shipping Details
Shipping Details Different Than Billing Details?
Click Here
Residential Address
No Signature Required
Company name
*
:
First name
*
:
Last name
*
:
Address 1
*
:
Address 2:
City
*
:
Province
*
:
--Canada Provinces--
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
--USA States--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal Code
*
:
Phone
*
:
Email
*
:
5 - Order Overview
In Stock
AIRMILES Reward Miles
Card Number:
Delivery Time
Standard 8-10 Business Days(included)
Rush
($25 Charge)
1-5 Business Days
Shipping to P.O. Box
Order Total Amount
