Remember to attach a voided check, with any desired changes, and deposit slip with your order.
Checks will be mailed to the address on the checks unless otherwise noted in your order.
Allow 3-4 weeks for delivery.
Mail order form, check and deposit slip to: Submarine Ship's Store, 521 Beaulieu Loop,
The Villages, FL 32162-1033 Phone 888 349-1756 * Fax 800 227-3099
Circle one:
300 Single Checks @ $37.50 450 Single Checks @ $55.15 600 Single checks @ $77.75
300 Duplicate Checks @ $47.50 450 Duplicate Checks @ $70.15 600 Duplicate Checks @ $97.75
Silver or Gold dolphins under signature line @ $5.00
Dolphin Embossed Leather Checkbook Cover - $19.95 + $1.95 S&H
FLORIDA RESIDENTS ADD 7% SALES TAX
Please Print ALL Information
| NAME: |
| CREDIT CARD BILLING ADDRESS: |
| CITY/STATE/ZIP: |
| EMAIL ADDRESS: |
| DAYTIME PHONE NUMBER: |
| START CHECKS WITH NUMBER: (IF NOT SPECIFIED CHECKS WILL START WITH 1001) |
| CHECK DESIGN REQUESTED: |
| DOLPHIN EMBOSSED LEATHER CHECKBOOK COVER(S): |
| CREDIT CARD NUMBER: |
| EXPIRATION DATE: 3/4 DIGIT SECURITY CODE (SEE BELOW): |
| SHIPPING ADDRESS AND ZIP CODE (IF DIFFERENT FROM CHECKS): |
DON'T FORGET YOUR VOIDED CHECK AND DEPOSIT SLIP!!