Cheque Reorder Form

Your Name

Name of First Nation

Your Email

Starting Number for Cheque Order:

Quantity of Cheques:25050010002000300040005000

Colour of Cheques:Blue (Medium Blue)Process Blue (Light Blue)BrownGreenRed (Medium Pink)Yellow

Are these two-part cheques (the first part is the actual cheque while the second part is a copy)? YesNo

Would you like a hologram to appear on the cheques? Note that there is an extra charge for this and it will take longer for the order to be processed.YesNo

Does any of the information on the cheques need to be changed? YesNo

If information does need to be changed, indicate the changes here:

Would you like to add two-window non-self sealing (you will seal the flap on the rear of the envelope by moistening it) envelopes to your order? The quantity of envelopes will be the same as the quantity of cheques you selected above. YesNo

Is this a rush order?YesNo

How would you like the cheques to be shipped to you? Canada PostPurolatorUPS

Shipping Address:Note that Purolator and UPS require a street address. They will not ship to a post office box.
Please enter one line of text per row; don't enter your entire address on one line.

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