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Teller Receipts DESCRIPTION Order a design or a combination of designs Choose from one of four formats Printed in black and red Shrink wrapped in 500's 20# white bond SIZE 2 3/4" x 6" QUANTITIES Multiples of 5,000 for each design PRICING 5,000 - $96.52 10,000 - $112.31 15,000 – $138.82  20,000 - $160.38 25,000 - $183.98  30,000 - $199.87 Additional 1,000 over 30,000 - $6.67 Please enter the required information to be displayed on the form: 1) Choice of form format  :  DR-1 Teller Receipt DR-2 Teller Receipt DR-3 Teller Receipt DR-4 Teller Receipt 2) Select the type of design and quantity of each (in multiples of 5,000) : A. Automobile Loans 0 5,000 - $96.52 10,000 - $112.31 15,000 – $138.82 20,000 - $160.38 25,000 - $183.98 30,000 - $199.87 Additional 1,000 over 30,000 - $6.67 B. School Loans 0 5,000 - $96.52 10,000 - $112.31 15,000 – $138.82 20,000 - $160.38 25,000 - $183.98 30,000 - $199.87 Additional 1,000 over 30,000 - $6.67 C. Personal Loans 0 5,000 - $96.52 10,000 - $112.31 15,000 – $138.82 20,000 - $160.38 25,000 - $183.98 30,000 - $199.87 Additional 1,000 over 30,000 - $6.67 D. Home Loans 0 5,000 - $96.52 10,000 - $112.31 15,000 – $138.82 20,000 - $160.38 25,000 - $183.98 30,000 - $199.87 Additional 1,000 over 30,000 - $6.67 E. Savings Plans 0 5,000 - $96.52 10,000 - $112.31 15,000 – $138.82 20,000 - $160.38 25,000 - $183.98 30,000 - $199.87 Additional 1,000 over 30,000 - $6.67 F. ATM 24-Hour Banking 0 5,000 - $96.52 10,000 - $112.31 15,000 – $138.82 20,000 - $160.38 25,000 - $183.98 30,000 - $199.87 Additional 1,000 over 30,000 - $6.67 G. Thank You 0 5,000 - $96.52 10,000 - $112.31 15,000 – $138.82 20,000 - $160.38 25,000 - $183.98 30,000 - $199.87 Additional 1,000 over 30,000 - $6.67 H. Retirement Planning 0 5,000 - $96.52 10,000 - $112.31 15,000 – $138.82 20,000 - $160.38 25,000 - $183.98 30,000 - $199.87 Additional 1,000 over 30,000 - $6.67 2) Enter the bank name and address to appear on the form and ship to label: Bank Name : Address : City : State : SELECT Alabama Alaska Arizona Arkansas California Colorado Conneticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip : Contact Name : Company Name : Address : City : State : SELECT Alabama Alaska Arizona Arkansas California Colorado Conneticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip : Email Address : Phone Number : Purchase Order # : Additional Comments : (If you have any other comments or requests, enter them here) When finished, click the Submit button below to send your order for this product to Falls Cities Printing.     Back to the Catalog Products