Custom printed promotional products and giveaways with your imprinted logo or personalized message.

ImprintItems.com Promotional Products
651.638.2222 sales@imprintitems.com

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Business Hours:
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Monday - Friday

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.

1
$6.72
 

Most samples are printed with a past client's logo to show imprint quality. Samples are intended for those considering placing a bulk order and therefore a $20 shipping and handling fee will apply (maybe refunded if bulk order is placed). $6.72 price is valid for single item sample orders only. See bulk/custom pricing to order more than 1 of these items.

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)

      Quantity1
      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)

      Quantity1
      PriceQuoted

      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)

      Quantity1
      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)

      Quantity1
      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)

        Quantity500
        Price$0.04

        Price Includes: N/A

    • Packing without drilled holes - Per 100

      • Charge Type: Packaging Charge (Per Quantity)

        Quantity50010005000
        Price$0.03$0.02$0.02

        Price Includes: N/A

    • Packing without drilled holes - Per 50

      • Charge Type: Packaging Charge (Per Quantity)

        Quantity2505001000
        Price$0.05$0.04$0.03

        Price Includes: N/A

  • Rush Time

    Rush Service

    Rush

    • Charge Type: Rush Service Charge (Other)

      Quantity1
      PriceQuoted

      Price Includes: N/A

 

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