Micro Format, Inc.
Secure Guard Papers

secure ~ CUSTOM DOCUMENT SECURITY PAPER ~ secure
ORDER FORM

~This is a SECURE Order Form ~

Pick your paper

Copy Obscure-Grey
New Generation-Blue
New Generation-Red
Copy Reveal-Green

Click on CUSTOM Watermark feature
Artificial Watermark with Coin Activated Security

Choose QUANTITY needed
2,500 sheets ---- $375.00 plus shipping by UPS
5,000 sheets ---- $750.00 plus shipping by UPS
7,500 sheets --- $1,125.00 plus shipping by UPS

Send Image to create CUSTOM artwork
Send an e-mail message and attach a black and white image that will be used to create your unique custom security feature.

Attach your file (gif, jpg, png, pdf) and send your message to:
CustomSecurity@highsecuritypaper.com

Image sent by e-mail
YES No

A representative from our Customer Service Department
will contact you BEFORE we enter your order into production.



Order Date:

Name of
Person Entering Order: (required)

Name:
Company Name:
Address:


City:
State: Zip Code:

E-Mail Address: (required)

Telephone Number: (required)

SHIP TO ADDRESS (If Different):

Name:
Company Name:
Address:


City:
State: Zip Code:

Credit Card Payment Information
We accept Visa, MasterCard and AMERICAN EXPRESS

Type Credit Card:
Visa, MasterCard or American Express

Credit Card Number
---

Exp. Date (MM/YY)

(3 digit code that appears on the back of your card)
CCV Code

Name as it appears
on the Credit Card


Comments:


PRESS HERE to

Click Only Once
There may be a delay while your image is uploaded.
Please wait until upload has been completed.

Thank you for your order. We appreciate your business.
A representative from our Customer Service Department will contact you BEFORE we enter your order into production.

After you click "submit your order", you will immediately receive a "bounce back" copy of your order.
Please print and save the "bounce back" copy of your order


Please call with any questions.
(800)333-0549 Fax (847-520-0197


Copyright © 2009-2012 inclusive
Micro Format, Inc. ~ All Rights Reserved
Micro Format, Inc.
830-3 Seton Court ~ Wheeling, IL 60090
Phone: 847/520-4699 ~ 800-333-0549
Fax 847/520-0197