Name: One Part Prescription Form Pad
Brand: ASI# 52493 Ennis Inc
Price: 171.40 USD
Availability: InStock

One Part Prescription Form Pad

One Part Prescription Form Pad; 1 pt-100 per pad. Features: True watermark paper with visible and invisible fibers, chemically reactive ink and bleach reactivity; Colored Background with Anti-Copy "VOID" Protection; Heat Sensitive Thermochromic Image; Micro Printing; Raster Relief Image; Warning Bands; Lot Control Number and Sequentially Numbered for Internal Record Keeping. Numbered by Request only.

Quantity	20	40	80	120	160	200
	$8.57	$7.52	$7.36	$7.22	$7.08	$6.72

* You will be able to enter notes and/or submit your artwork on the next page.

Colors: White
Size: 5 1/2 " x 4 1/4 ", 4 1/4 " x 5 1/2 "
Item Numbers: PP-2600-1, PP-2601-1
Additional Information: Our prescription products are compliant with the latest new requirements for use of tamper resistant prescription pads under the Medicaid program, Section 1903b(i) of the Social Security Act (42USC193b(i), paragraph (23).Compliant in all states except California, Connecticut, Kentucky, New Jersey, New York and Wyoming.

Product Detail

Pad Choice
- Size
  Horizontal
  - 5 1/2 " x 4 1/4 "
- Size
  Vertical
  - 4 1/4 " x 5 1/2 "
Booking available. Carbonless Snap-A-Part Forms can be booked into sets of 50 (stapled through the stub and wrapped with a heavy manila backer).
- Charge Type: Product Option Charge (Per Quantity)
  
  Quantity 1
  Price $12.73
  
  Price Includes: N/A
- Carbonless Snap-A-Part Forms
Product Option
Hole Punches are available
- 1 hole
- 2 holes
- 3 holes
- 4 holes
Forms Fulfillment available
- Charge Type: Product Option Charge (Per Quantity)
  
  Quantity 1
  Price Quoted
  
  Price Includes: N/A
- Forms Fulfillment
Product Option
Multi-Part Color Sequence available
- Multi-Part Color Sequence
Product Option
Stock logos available
- American flag - MI-3
- Capsule "RX" - DR-1
- Mortar & Pestle - DR-2
- Mortar & Pestle "RX" - DR-4
- Mortar & Pestle Bold "RX" - DR-3
- Quote "Thank You" - MI-1
- Skull and bones - DR-6
- Sun - MI-2
- US "Small Business keeps America Growing" - MI-4

Imprint

Imprint Sizes: 3 3/4" x 5" Horizontal, 5" x 3 3/4" Vertical

Imprint Methods: Printed, Unimprinted

Full Color Process: No

Personalization: No

Sold Unimprinted: Yes

Imprint Methods

Printed, Unimprinted

Artwork & Proofs

Virtual Proof

We can fax or email a proof to you for any imprinted order. Please allow up to an extra two days if you request a proof.
- Charge Type: Proof Charge (Other)
  
  Quantity 1
  Price $17.11
  
  Price Includes: N/A
Art Services

Colors

Black, Red, Blue, Green

Sizes

3 3/4" x 5" Horizontal, 5" x 3 3/4" Vertical

Imprint Options

Extra Imprint Lines available
- Charge Type: Imprint Option Charge (Per Quantity)
  
  Quantity 1
  Price $20.10
  
  Price Includes: N/A
- Extra Imprint Lines
Imprint Option
Starting number available. Choose a six-digit number for your imprinted form, or seven-digit for all register forms.
- Custom seven-digit number
- Five-digit number
- Four-digit number
- Seven-digit number
- Six-digit number
- Start with 0001001
- Start with 001001
Imprint Option
Logos can be positioned to the left, right, above or below your imprint, dependent on your total imprint size.
- Above your imprint
- Below your imprint
- Left
- Right

Production and Shipping

Packaging
- Packing with drilled holes - Per 500
  - Charge Type: Packaging Charge (Per Quantity)
    
    Quantity 500
    Price $0.04
    
    Price Includes: N/A
- Packing without drilled holes - Per 100
  - Charge Type: Packaging Charge (Per Quantity)
    
    Quantity 500 1000 5000
    Price $0.03 $0.02 $0.02
    
    Price Includes: N/A
- Packing without drilled holes - Per 50
  - Charge Type: Packaging Charge (Per Quantity)
    
    Quantity 250 500 1000
    Price $0.05 $0.04 $0.03
    
    Price Includes: N/A

Rush Time

Rush Service

Rush
- Charge Type: Rush Service Charge (Other)
  
  Quantity 1
  Price Quoted
  
  Price Includes: N/A

Thank you for visiting

One Part Prescription Form Pad
Custom printed promotional products and giveaways with your imprinted logo or personalized message.

Categories