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Online Check-by-Email Orderform!

For Bank Accounts In The United States Only!

Personal Information:
(Enter this information EXACTLY as it appears on your check)

Full Name:
Company Name (If on checks):

E-Mail Address:

Address:

City, State, Zip:
Phone # (Include Area Code):

Please Use the Following Diagram to Help You Identify the Requested Information on Your Check:

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Bank Information:
(Enter this information EXACTLY as it appears on your check)
Bank Name:
Address:
City, State, Zip:
Bank Phone (If on Checks ):   

Check Information:
(Enter this information EXACTLY as it would appear on your check)
Check Date: (dd/mm/yy)          
Check Number:
Check Amount:
Transit Code:
Bank Routing Number:
Bank Account Number:

Account Authorization:
To Authorize Please Type "I Agree" Here:    

Please Double Check ALL Information before you submit your order to avoid costly delays. Thank You!

Please Press "Submit Order" Only 1 Time.  It May Take Up To 2 Minutes To Process Your Order. Thanks!

By choosing "Submit Order" you authorize Creative Operations Research to draft your bank account for the "Check Amount" shown on this form in return for the selected product(s) above. You acknowledge that you are the owner or authorized signer on the account information entered in this form. Your order will be processed through your local bank as a normal check, and your account will never be accessed electronically. After you have entered the information, there is no need to send the check to me. Simply write the ordering information in your checkbook, just as if you had sent it in. NOTE: All NSF returned checks will be subject to a $25.00 processing fee.