To contact us:

Phone: 1-800-636-7459 • 503-228-8555
FAX: 1-503-228-8444
Email: checkprint@earthlink.net
           
On Line Order Form
All line items with "*" are required fields
Company Name (if applicable):
Contact Name *
Address:*
Address2:
City:*   State/Prov:*   Zip/Post. code:*
Country:*   Phone:*   FAX
E-mail:*
Please select type of check below:
LASER CONTINUOUS FEED EKONOMIK
Name of software: Software version
Please select product number:
Quantity:*     Beginning check #:*     Color:*
Please check one of the following Single   Duplicate   Triplicate
Please fill in the following information as it should appear on your check:
Name *
2nd Name (Optional)
3rd Name (Optional)
Address: *
Address:
City: *     State/Prov: *     Zip/Post. code: *
Country:     Phone Number:
Bank Information.
Bank Name *     Branch (if applicable)
Bank Address: *
BankAddress:
City:*     State/Prov:*     Zip/Post. code:*
Country: *
Fill in bank numbers as they appear across the bottom of your check.
Please indicate spaces and dashes!
Banking numbers * Routing #: Account #:
Payment options Master Card       Visa      Debit Card
Card number Expiration date
Card holder's name as it appears on card *
Additional information or comments about this order
YOU MAY ALSO FAX A COPY OF YOUR EXISTING CHECK TO US AT:(503) 228-8444 OR YOU MAY SCAN AND E-MAIL A COPY OF YOUR EXISTING CHECK TO US AT ORDER@CHECKPRINTINGCO.COM"
Check Printing Home Page | Product Catalog | Frequently Asked Questions | On Line Order Form | Re-order On Line
  CHECK PRINTING COMPANY, INC.
3111 NW Industrial Street
Portland, OR 97210