Order Form
Maxwell Pin Fed Checks/Forms
Direct all inquiries and send all information to:
J. Knutson
& Associates, Inc.
Att’n: Forms
1834 North
St. Paul Road
St. Paul,
MN 55109
Phone: (651)
777-7716, Ext. #406 Fax: (651) 777-8350
LOGO: Do you have
a company logo (picture or insignia)?
If yes, please send an original document, voided check, or original artwork. *Quality reproduction of a logo adds
processing time to your order.
Company
Name:______________________________ Date:__________________
Subsidiary
of:____________________________________________________________
Forms contact
person:_________________________ Phone:_________________
Bill
to:_______________________________ Ship
to:_________________________
____________________________________ _________________________________
____________________________________ _________________________________
See price sheet for more information.
Use this order form only for checks/forms printed on a Pin Fed printer.
Logo: Y/N Y/N Y/N Y/N Y/N
Color _____ _____ _____ _____ _____
Quantity _____ _____ _____ _____ _____
Parts# _____ _____ _____ _____ _____
Start# _____ _____ n/a n/a n/a
Pattern _____ _____ n/a n/a n/a
If you have a preference on
the payroll check stub layout, indicate below.
If left blank, Choice 1 (which is the most popular option) will be used.
___1) Details hours
worked by pay rate.
___2) Shows summary
hours and Gross Earnings
Double
window Envelope quantity:
_____________ (works with checks
& forms)
Date
you need to receive the order by:
_______________________
*Regular processing and delivery is 12-14 business days. Please allow an additional week for logo.