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  • OK Name is required
  • OK Account number is required
  • OK Last 4 digits of your SS# is required
  • Phone

    - -
    Optional OK Phone is required
  • OK E-mail is required
  • OK Preferred contact method, if needed is required
  • OK Location for pickup or shipped is required
  • OK Starting check number is required
  • Account Type

    OK Account Type is required

Personal

  • OK Quantity is required
  • OK Check Style is required

Business

  • Optional OK Software is required
  • OK Quantity is required
  • OK Check Style is required
  • OK Check Cover is required
  • Optional OK Clipart is required
  • OK Text Style is required
  • OK Line 1 (Name) is required
  • OK Line 2 (Address Line 1) is required
  • OK Line 3 (Address Line 2) is required
  • Optional OK Line 4 is required
  • Optional OK Line 5 is required
  • Optional OK If shipping address is different than lines 1-5, please specify: is required
  • Optional OK Special Instructions/Comments: is required
  • OK I/we agree that this Check order form may be processed and the cost may be deducted from my/our checking account. is required

  • For your security, two forms of ID are required to verify your identity. The last 4 digits of your Social Security # (entered above) counts as one form of identification. A secondary form of ID can include any of the following: 1. A description of a recent transaction on your deposit account (ex: $35 charge at ABC Restaurant), 2. The amount of your initial deposit if you opened an account, or 3. a passcode, if you have one on file.

  • OK Please provide your secondary form of ID into the text box below: is required
  • OK is required