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Check Reorder Application

Use this form to reorder checks from Harland Clarke (formerly Liberty Checks).  If you already know the specific check style and optional features you want, simply make those selections from the lists below.  If you would like to view check selections, options, and accessories, then click the Harland Clarke icon below to open a link to their web site.

Once the web site has loaded, click on the option to Browse Our Catalog.  You will then be able to browse the complete online catalog.  The Harland Clarke web site will open in a new window within your browser.  This will allow you to browse the Check Catalog and complete the form below at the same time.  If you don't see the selection you desire in the lists below, please user the Other field and indicate the name of the Check Design you desire.

Please provide all the requested information. When you have completed the form, press the submit button to send your application.

   Click this icon to open the Harland Clarke (formerly Liberty Checks) web site.
            


                                                                                       Required fields are marked with an *
Identification Information
Full Name *
Shipping Address (if different than check)
Street Address Line 1

Phone Number
Street Address Line 2
Member Number*       Account Number *
   
City
E-mail Address
State/Zip
    
Check Information

New Order    Reorder    Quantity*     Starting Number*                             

Please Type Information As It Appears on Checks
Line 1 
Line 2 
Line 3 
Line 4 
Line 5 
Line 6 
Check Styles

New Designs (What's New)                                         
 

 

  Nature & Scenic

Animals                                           
    

 

Sports & Leisure
 
Collegiate

Fun & Frivolous

 Desk Manager

 

Recycled

 

 
Disney
 

Warner Bros.

 

Charitable Causes

Patriotic & Inspirational

 

 

Art & Culture

Other

 
Check Options
Corner Accent/Monogram Number
Center Accent Number
2nd Signature Line

Signature Line Copy

Typestyle
Additional Accessories/Home Office Systems Products

Use these fields to order additional items not specifically noted on this form. 

Item Type


Item Type


Item Type

Item Name/Style

Item Name/Style

Item Name/Style

Comments

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