CheckMAN™   E Z  ORDER  FORM
Print This Form and Mail or Fax To :
Connect4Life  ~  1805 W. Hovey Ave, Ste A  ~  Normal, IL 61761
Fax:  312.803.1888   (24 hours) or if busy: 309.452.7035
76050
 
[X]
I would like to Order The Following
 
[  ]
 CheckMAN Standard Edition $44.95 ($39.95 + $5 Priority s/h)
[  ]
 CheckMAN Professional Edition $84.95 ($79.95 + $5 Priority s/h)
[  ]
 CheckMAN Standard + 300 Checks $64.95 ($39.95 + $20 + $5 Priority s/h)
[  ]
 CheckMAN Professional + 300 Checks $99.95 ($79.95 + $15 + $5 Priority s/h)
[  ]
 EXPRESS Delivery CheckMAN Pro + 300 Checks $104.95 ($79.95 + $15 + $10 Express s/h)
[ ]
 Illinois Residents, please add 7.25% Sales Tax: 
[ ] $2.90 ($39.95 Subtotal)          [ ] $4.35 ($59.95 Subtotal) 
[ ] $5.80 ($79.95 Subtotal)          [ ] $6.88 ($94.95 Subtotal)