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Withdrawal and Deposit Tickets
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Combination Savings Withdrawal/Deposit
DESCRIPTION
One part white 24# Bond
Loose or padded in 100's
Standard shrink wrapped in
500's
SIZE
3 3/8" x 7"
QUANTITIES
Multiples of 5,000
PRICING
5,000 -
$108.24
10,000 -
$177.87
15,000 –
$231.22
20,000 -
$276.76
Additional
1,000 over 20,000 - $13.84
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| Please enter the required information to be displayed on the
form : |
| 1) Choose the form padding |
| Padding : |
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| 2) Enter the bank name and
address to appear on the form: |
| Bank Name : |
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| Address : |
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| City :
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| State : |
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| Zip : |
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3) MICR Encoding (for more info on
entering the MICR line, click here)
When a space is required, type an "X" in the space. Leave any
unused fields blank. |
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Quantity :
(Multiples of 5,000) |
Each additional 1,000 over 25,000 - $13.84
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| Add'l 1000's : |
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| Item Total : |
$0
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Any Special Instructions for this form :
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