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Imprint Information Form

The easiest and fastest way to get your imprint information to us is to fax it to 800.421.0101 or phone us at 800.223.0101.

If you prefer, fill in this form completely.

But, however you get the information to us, PLEASE finish placing your order on the appropriate page for each product.

Laser Checks, Deposit Slips, Endorsement Stamps, Envelopes

Please tab through the fields; do not hit enter unless you are finished. Please provide your contact information at the bottom in the event we have questions.

Laser Check Imprint Information:

Company Name:
Address Line 1:
Address Line 2 (if any):
City:
State:         Zip:
Phone (if desired):
Bank Name:
Bank Address:
(if applicable)
Bank City:
State:         Zip:
Bank Routing Number:
(near bank name)
Starting Check Number
(we will use 1001 unless otherwise specified):
Special Account Title
(if any, will be printed above signature line(s)):
Second Signature Line? Yes No


MICR BANK and ACCOUNT INFORMATION must be precise. Each digit, punctuation or space on the MICR line is exactly 1/8" wide, with 9 spaces allowed for the bank number and up to 19 spaces for the account number. Copy the numbers carefully from your existing check, using an "S" for each blank space,  "D" for the dash symbol (),  and "C" for the on-us symbol ( ). You must fill in all 9 spaces available for the Bank No. and all 19 spaces for the Account No.  
Do not use a deposit slip for check information.

Bank No.                          Account No.

 

Software and VersionUsed:
Comments:

End of Laser Check Imprint Information.


 

Deposit Slip Imprint Information:
(omit any lines you wish to be left blank)

Company Name:
Address Line 1:
Address Line 2 (if any):
City:
State:         Zip:
Bank Name:
Bank Address:
(if applicable)
Bank City:
State:         Zip:
Bank Routing Number:
(near bank name)


MICR BANK and ACCOUNT INFORMATION must be precise. Each digit, punctuation or space on the MICR line is exactly 1/8" wide. Copy the numbers carefully from your existing deposit slip, using an "S" for each blank space,  "D" for the dash symbol (),  and "C" for the on-us symbol ( ). You must fill in all 9 spaces available for the Bank No. and all 19 spaces for the Account No. Do not use a check for deposit slip information.

Bank No.                          Account No.

 

Comments:

End of Deposit Slip Imprint Information.


 

Endorsement Stamp Imprint Information:
Please type up to six lines for your stamp, over-writing lines 1 and 3 if desired.

Line 1:
Line 2: (usually Bank name)
Line 3:
Line 4: (usually Co. name)
Line 5: (usually acct. no.)
Line 6:

End of Endorsement Stamp Imprint Information.


 

Envelope Imprint Information:
(omit any lines you wish to be left blank)

Company Name:
Address Line 1:
Address Line 2 (if any):
City:
State:          Zip:
Comments:

End of Envelope Imprint Information.


 

May we have your contact info in the event we have questions? Also, be sure to complete your order on the approriate product page.

 

Your Name:
Phone:
Email:

You have a friend at Eastern!

Back to Top Phone us at 800.223.0101   •   or Fax 800.421.0101   •   or email.  

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Eastern Systems
All rights reserved.

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