XPRESSCHECK™ ORDER FORM

IMPORTANT INFORMATION FOR ORDERING CERIDIAN XPRESSCHECKS

The order form below needs to be completed and submitted here, e-mailed, faxed or mailed
to Nealson.

ADDITIONAL INFORMATION REQURED

  • Exact Reorder - photocopy of previous check
  • Reorder with change - photocopy of previous check with changes marked clearly
      If bank or MICR information is part of the change, one of the following is required
      - Voided check sample with correct account number
      - Completed bank MICR specification sheet
      - Copy of the check verification document from Ceridian
  • New order - one of the following is required
    - Voided check sample with correct account number
    - Completed bank MICR specification sheet
    - Copy of the check verification document from Ceridian
  • New logo - electronic files can be E-Mailed to: ceridian@nealson.com in black and white PC,
    Tif or EPS format. Or, clean BLACK and WHITE ORIGINAL artwork may be sent with order. Artwork CANNOT be faxed.

    •

    Download and Print this Acrobat PDF File or fill out the form below:
     ( You will need the Acrobat Reader software, it is free here )

    ORDER FORM
    * Required
    MAIL, FAX OR PHONE
    ALL ORDERS TO:
    Nealson Business Systems inc.
    1661 PARK DRIVE
    TRAVERSE CITY, MI 49686
    (800) 998-8840 FAX: (800) 777-2357
    EMAIL ceridian@nealson.com
    CERIDIAN ORDER DEPT.
    P.O. No.
    *Contact Name
    *Contact E-Mail
    CERIDIAN DATA CENTER CERIDIAN REPRESENTATIVE NAME CUSTOMER'S PHONE NO.
    *
    SHIP TO:
    COMPANY NO. SUB. CO. NO.
    COMPANY NAME
    ATTENTION
    STREET NO.
    CITY STATE ZIP
    DELIVERY:
      NORMAL - 10 WORK DAYS
      RUSH - 5 WORK DAYS
            ($150.00 ADDITIONAL)
      RUSH - 3 WORK DAYS
            ($175.00 ADDITIONAL)
      HOT 24 HRS - CALL PLANT FOR PRICING
    SHIP VIA:
    UPS GROUND UPS 2ND DAY AIR
    NEXT DAY AIR
    QUANTITY ORDERED STARTING NUMBER INK COLOR
    (SHOULD DIFFER FROM DATA CENTER SEQUENCE)
    Basic XPRESSCHECK™ - Black print on a Blue/Green Background
    Custom XPRESSCHECK™ -
           Ink Colors:
    Ink colors other than above contact the CERIDIAN order desk.
    CHECK SEQUENCING (LASER PRINTER FEEDS)
    LOW NUMBER ON TOP FACE UP     LOW NUMBER ON TOP FACE DOWN
    NEW ORDER - MAIL OR FAX SAMPLE OF CURRENT PAYROLL CHECK OR A CERIDIAN ISSUED CHECK VERIFICATION DOCUMENT, TO INCLUDE THE FOLLOWING INFORMATION:
    COMPANY LOGO* (IF DESIRED ADDITIONAL CHARGES APPLY)
    NAME and ADDRESS
    NUMBER OF SIGNATURE LINES (NONE, 1, 2)
    MICR SPEC SHEET FROM BANK
    NOTE: LEGIBILITY IS SOMETIMES AN ISSUE ON FAXED ORDERS. PLEASE WRITE THE "FRACTION"
    THAT APPEARS IN THE UPPER RIGHT CORNER OF YOUR CHECK -/ (EXAMPLE 74-367/724)
    *ARTWORK FOR LOGOS CANNOT BE FAXED - PLEASE MAIL A CAMERA READY LOGO OR EMAIL AN .EPS FORMATTED FILE TO: ceridian@nealson.com
    EXACT REPEAT ORDER - CALL OR SEND SAMPLE OF LAST ORDER, OR FAX A COMPLETED REORDER FORM WITH QUANTITY DESIRED AND STARTING NUMBER
    CHANGED REPEAT ORDER - SEND SAMPLE OF LAST ORDER WITH CHANGES INDICATED, QUANTITY DESIRED AND STARTING NUMBER
    CUSTOM XPRESSCHECK ENVELOPES - QTY. 500 1000 2000 OTHER
    Other Amount:
    NOTE: BY TYPING YOUR NAME IN THIS BOX AND CLICKING THE SUBMIT BUTTON YOU ARE, IN EFFECT, SIGNING YOUR NAME TO THIS DOCUMENT AND WILL BE HELD ACCOUNTABLE FOR THE ORDER
    AUTHORIZED CUSTOMER SIGNATURE

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