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InfoSeal ® is a Registered Trademark
of InfoSeal LLC

Ultrachek® Futurachek® Magnachek™
Basichek®
Deterachek™
UltraSeal™
and Original IRD™
are trademarks of
Relyco Sales Inc.

All other trademarks are the property of their respective owners.

Tax Form Order Form

Taxes are painful, but buying Tax Forms shouldn't be. Please complete the order form below and submit your information to our expertly trained staff. You will receive an order confirmation via fax from your sales representative - once signed and returned, your tax form order will be processed.

If you would rather fax your order, please click here for a PDF version of the order form.

QUANTITY	FORM #	DESCRIPTION








Absolutely NO RETURNS without written permission. We will provide samples at no charge for you to test. Please order by form number, we will always fill orders by form number, not description.

	BILL TO INFORMATION

	COMPANY:
	NAME:
	STREET ADDRESS:

	CITY:
	STATE:
	ZIP CODE:
	PHONE NUMBER
	EMAIL:

	PURCHASE ORDER #:

	SHIP TO INFORMATION

	CHECK IF SAME AS ABOVE

	COMPANY:
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	CITY:
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	ATTENTION TO:

	WE SHIP UPS TO INSURE PROMPT DELIVERY, PLEASE GIVE US THE STREET ADDRESS ABOVE. NO POST OFFICE BOXES PLEASE.