2 Part Co-Pay Medical Receipt Book

Name: 2 Part Co-Pay Medical Receipt Book
Brand: Medical Products
SKU: COPA-185-2
Availability: InStock
Rating: 5 (1 reviews)

$215.04 – $992.38

The first page or part is perforated on the 2 Part Co-Pay Medical Receipt Book. The last page is not perforated and stays in the book serving as the office copy. You have a choice of 4 different ink colors to use for the Physicians imprint. The pages are multi-part color sequence. Turnaround time is 3 working days after proof approval of imprint setup.Get the details. Receipt form features pre-printed areas that document payment, payment method and lines to add more information.

Catalog No: COPA-185-2
Parts: 2
Weight per 5 bks: 4#
Book Size: 6 1/8″ x 11″
Receipt Size: 2 3/4″ x 5 1/2″
Receipts per book: 200
Imprint Area: 3/4″ x 1 3/4″
Carbonless

Quantity

Imprint Color

Clear selection

No Imprint Discount

If you don’t need your company information imprinted, click here and save 30% off.

No Imprint Discount (-30%)

Type of Order

New Order

Exact Repeat of Previous

PROOFS

When you place an order, you will be sent a proof. If you want a proof before ordering, then email orders@stargatedesign.com and send us the logo (if applicable) and the company imprint info and we will send you a proof. Once you place your order and we receive proof approval, we will send the order into production.

Imprint Information / If no imprint leave all fields blank.

Company Name or Main Line of Text

Address

City, State, Zip

Phone, Fax or Email

Advertising Line of Text (eg. License #XXXXXX)

Starting # (If Applicable)

You can use 001000 as starting number if it is a new form. Number must be at least six digits.

Upload Logo or Artwork

(max file size 512 MB)

You can add an additional line of text in the body of the form for an additional cost. (+$19.75)

You can add two lines of text of text in the body of the form for an additional cost. (+$39.50)

Optional: Include any comments you feel we need to know when processing this order.

Description
Additional information

Description