HCFA FORMS 02-12 [view sample]

Item # Units Description Price Order Qty
CMS1500L-1 500/box HCFA 1500 Laser Cutsheet No Bar Code 8.5x11 $18.00
CMS1500L-2 1000/box HCFA 1500 Laser Cutsheet No Bar Code 8.5x11 $35.00
CMS1500L-3 2500/box HCFA 1500 Laser Cutsheet No Bar Code 8.5x11 $75.00

UB04 FORMS [view sample]

Item # Units Description Price Order Qty
UB04L-1 500/box UB04 Laser Cutsheet No Bar Code 8.5x11 $18.00
UB04L-2 1000/box UB04 Laser Cutsheet No Bar Code 8.5x11 $35.00
UB04L-3 2500/box UB04 Laser Cutsheet No Bar Code 8.5x11 $75.00

All products will be shipped out by UPS ground and is not included in the price.

Infinedi Account Number:
Company Name:
Delivery Address:
Suite:
City:
State:
Zip:
Ordered By:
Phone:

If you have any questions, please don't hesitate to call the Finance Department at 800-688-8087.



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