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TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
Item #: 901-2408453
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits
Top sensor bar for microfiche duplication, as required in some states
OCR red ink for scanning
$35.09
Per pack
Medical Arts Press Replacement Day Sheet Forms; Bond, Format S1 (WJM11)
Item #: 901-20527
Replacement day sheet forms
Number of parts: One
50/Pack
$45.69
2+ pack
TOPS Employee Record Master File, 20/Pack (TOP 3280)
Item #: 901-3280Q
Employee personal file includes all you need to build a complete employee record
20 personal files per pack
Comes in manila color with blue ink
$59.49
1-3 pack
Save 5%
$55.99
4+ pack
TOPS 3-Part Carbonless Purchase Requisitions, 8.38"L x 10.69"W, 50 Sets/Book (46147)
Item #: 901-388374
Purchase-order books are designed to help you write order memos in a clear manner
Business-form size: 8.38"L x 10.69"W; detached: 8.38"L x 10.19"W
3-Part Carbonless forms for accurate record keeping
$41.39
Per box
Adams 2-Part Carbonless Sales Orders, 5.63"L x 3.34"W, 50 Sets/Book, 10/Pack (DC3510)
Item #: 901-DC3510
General-purpose sales book is ideal for use when receipt or guest check needs to be written
Business form size: 5.63"L x 3.34"W; detached form size: 5.13"L x 3.34"W
2-Part Carbonless forms for accurate record keeping
$25.49
Per pack
Medical Arts Press® Rx Blanks; Single Copy, Horizontal, 5-1/2x4"
Item #: 901-16010MAP
Blanks can be imprinted with doctor's name and feature standard refill instructions
Please specify State License and/or DEA numbers if desired
Numbering available
Medical Arts Press® Registration Form; Smile Team™
Item #: 901-21784
Comprehensive form gathers complete insurance information, making it easier for you to process claims
Friendly "happy teeth" design welcomes patients
Printed in 2-color on two sides on 24-lb. white bond paper
$72.19
1 pack
Save 5%
$67.99
2+ pack
Adams 2-Part Carbonless Receipts, 2.75"L x 7.13"W, 200 Sets/Book (DC1182)
Item #: 901-DC1182
Money and rent receipt book is consecutively numbered for easy organization
Size: 2.75"L x 7.13"W; page size 11"L x 7.63"W
2-Part Carbonless forms for accurate record keeping
$24.19
1-5 each
Save 9%
$21.99
6+ each
Better Office 2-Part Carbonless Sales Order Book, 5.44" x 8.44", 50 Sets/Book, 6 Books/Pack (66106-6PK)
Item #: 901-24558002
Sales order book is a convenient way to stay organized and track all customer transactions in your business
Form size: 5.44" x 8.44"
Each carbonless two-part set features a white top sheet for recording each transaction and a bottom canary yellow sheet that captures written text from the top sheet
$56.29
Per pack
Medical Arts Press® Registration Forms without Updates Section ; Brush Silhouette
Item #: 901-21786
Comprehensive form gathers complete insurance information, making it easier for you to process claims
Silhouetted toothbrush design welcomes patients
Printed in 1-color on two sides on 24-lb. white bond paper
$56.29
Per pack
TOPS Money/Rent Receipt Book, 5.25" x 11", White/Canary, 50 Sheets/Book (4161)
Item #: 901-745083
Use this receipt book for rent payments or any other type of payment
Original form is white with blue and red ink and canary duplicate with a black/white image
50 pages with four perforated two-part carbonless forms per page
$28.69
Per pad
Solid Color Laser Statements; Style A, with Credit Card Information, Purple
Item #: 901-30471C
Light Purple Background on Front
Back Is White with Printed Change Of Address & Visa & Mastercard Credit Card Payment Sections
Perforation Is 3.68 From top Of Sheet
$48.99
Per pack
National Brand Canvas Tuff Series Record Book, 7.63" x 12.13", Green, 250 Sheets/Book (A66500R)
Item #: 901-A66500R
Book for records and daily schedules
Canvas hardcover in green
Includes 500 numbered pages with blue ruling and margin
$75.39
Per each
Rediform 2-Part Carbonless Purchase Requisitions, 7"L x 2.7"W, 400 Sets/Book (RED1L176)
Item #: 901-1L176
Purchase order books are designed to help you write orders memos in a clear manner
Business form size: 7"L x 2.7"W
2-Part Carbonless forms for accurate record keeping
$60.49
Per each
Medical Arts Press® Duplicate Rx Books; Alter-Proof, Horizontal
Item #: 901-16024
Tamper-resistant Rx pad features 5 security features; meets October 1st 2008 Medicaid Requirements
Alter-proof blue pattern background to ensure there are no erasures or modifications of information
Void Pantograph — the word "void" will appear when photocopied
Adams 3-Part Carbonless Purchase Order, 10.69"L x 8.38"W, 50 Sets/Book (TC8131)
Item #: 901-301648
Keep a bound copy for a permanent record using this purchase order book
Size: 10.69"L x 8.38"W
Features a carbonless 3-part format that allows you to keep a permanent copy for your records
$28.69
Per each
Adams 2-Part Carbonless Purchase Order, 8 3/8" x 11 7/16", 50 Sets/Book (DC8131)
Item #: 901-301655
2-part carbonless purchase order formbook in white, canary paper sequence
Consecutively numbered within each book
Space at top for company stamp
$21.19
1-9 each
Save 15%
$17.99
10+ each
Staples® Record Book, Black, 300 Sheets/Book (217919)
Item #: 901-217919
Record book for keeping track of tons of information
Black cover with burgundy spine and corners features gold-stamped title for elegant look
Contains 300 numbered pages, faintly ruled with margin lines, 40 lines per page
$38.79
1-3 each
Save 7%
$35.99
4+ each
Medical Arts Press® Single Copy Rx Blanks, Horizontal, Alter-Proof
Item #: 901-16035
Tamper-resistant Rx pad features 5 security features
Alter-proof blue pattern background to ensure there are no erasures or modifications of information - look and regulations may vary state to state
Void Pantograph — the word "void" will appear when photocopied
Adams 2-Part Carbonless Work Orders, 5.5625" x 8.4375", 10 Sets/Book, /Box (DC5805-10)
Item #: 901-DC580510
Sales orders book to keep accurate records
White pages to create originals and canary pages for copies
Pack of 10.
$123.19
1-2 pack
Save 26%
$89.99
3+ pack
Adams 3-Part Carbonless Sales Orders, 8.44"L x 5.56"W, 50 Sets/Book (TC5805)
Item #: 901-196121
Sales and order books are ideal for keeping proper records of orders and sales
Size: 8.44"L x 5.56"W
Features a carbonless 3-part format that allows you to keep a permanent copy for your records
$10.89
Per each
Adams 3-Part Carbonless Bill of Lading, 8.5"L x 7.44"W, 250 Sets/Book (B3876)
Item #: 901-196253
Bill of lading form to ensure all your shipments arrive with the appropriate paperwork
Business form size: 8.5"L x 7.44"W; detached form size: 8.5"L x 6.94"W
3-Part Carbonless forms for accurate record keeping
$42.39
1-3 pack
Save 5%
$39.99
4+ pack
TOPS 2-Part Carbonless Purchase Requisitions, 7.94"L x 5.56"W, 50 Sets/Book (46140)
Item #: 901-377687
Purchase order books are designed to help you write orders memos in a clear manner
Business form size: 7.94"L x 5.56"W; detached form size: 5.56"L x 7.94"W
2-Part Carbonless forms for accurate record keeping
$20.19
Per box
TOPS Receipts, 2.75"L x 7.13"W, 100/Pack (46808)
Item #: 901-46808
Money receipt book is consecutively numbered for easy organization
Envelopes are not included
Business form size: 2.75"L x 7.13"W; sheet size: 10.88"L x 7.63"W
$25.29
1-2 each
Save 5%
$23.99
3+ each
