ChekFaxx™ Check Writing Software

PLEASE EMAIL Access Business Online for information.

ChekFaxx™ Price List & Order Form

(Subject to Change - Without Notice)

$99.00 Standard ChekFaxx System

$149.00 Professional ChekFaxx System

With ASCII Import/Export

Module Including Text Editor

500 blank checks and step by step users manual included.

Shipping and handling by UPS ground included.

$ 20.00 500 Blank Checks ($0.08 each)

$ 35.00 500 Blank Checks ($0.07 each)

$ 60.00 1000 Blank Checks ($0.06 each)

$110.00 2000 Blank Checks ($0.055 each)

$200.00 5000 Blank Checks ($0.04 each)

Red and Blue UPS Label Shipping available at extra cost.

Please call 1-800-220-0514 for current price schedule.

Placing your order
By email: Complete this form including information on your checking account. You have the option of not including your bank account information, for this is not a secure site, ChekFaxx™will call you to get the information over the phone and we willthan draft your bank account.
By Mail: Complete this order form with a check or money order, payableto ChekFaxx™ Development Company, INC. to: ChekfaxxDevelopment Company, INC., 7119 E. Shea Blvd., Suite 109-443, Scottsdale, Arizona 85254.
By Fax: Complete this order form with a check, made payable to ChekFaxx Development Company, INC., with authorization form, FAXall forms to 480-922-9525 and your will be shipped within 24 hours.Thank you for the order

EMAIL:

Company Name:  
Contact Person:
Address:       
City:          
State:
Zip Code:
Voice Telephone:
FAX number:

Complete when ordering by email:
Check Number: 
Name of Bank: 
Bank Routing Number:(9 Digets) 
Checking Account Number:

PLEASE SHIP THE FOLLOWING
Standard ChekFaxx™MICR Chek Writing Software @ $99.00

Professional ChekFaxxMICR Check Writing Software @ $149.00

ProfessionalChekFaxx MICR Check Writing Software with ASCII Import/Export Module @ $299.00

Demo ChekFaxx MICR Check Writing Software (Includes Shipping) @ $25.00

Shipping and Handling (Federal Express 2nd Day Service) $11.00
ArizonaResidents add 7.15% State Sales Tax
TOTAL AMOUNT OF ORDER

TAPE YOUR CHECK HERE

By attaching your check here, I hereby authorize ChekFaxx™Development Company, INC. to duplicate the check into a bank draft form. I Understand that I will receive by mail, a Check Authorization Notice, notifying me that a duplicate bank draft has been issuedon my behalf for said purchase. I will retain my original copy for my/our record of this transaction. I understand that the Payeeor authorized agent of Payee, will sign the bank draft as my agent for this transaction only. This authorization is valid for this transaction only. No other bank drafts may be created withoutmy/our direct written or verbal authorization. Initial:________