Medical Forms
| Description |
Stock # |
Carton
Quantity |
Price
Per/M |
Price/Carton
1-2 Cartons |
Price
Per/M |
Price/Carton
3-5 Cartons |
Price
Per/M |
Price/Carton
6-10 |
Price
Per/M |
Price/Carton
11-50 |
Price
Per/M |
Price/Carton
51-500 Cartons |
CMS-1500 Laser
1 Part |
HCMS02 |
2500 |
20.49
|
51.22
|
15.52 |
38.79 |
14.64 |
36.61 |
12.42 |
31.04 |
11.79 |
29.48 |
CMS-1500 Continuous
1 Part |
HCMS04 |
2500 |
21.48 |
53.69 |
16.27 |
40.66 |
14.64 |
36.61 |
12.54 |
31.36 |
11.68 |
29.20 |
CMS-1500 Continuous
2 Part (W/C) |
HCMS06 |
1000 |
44.37 |
44.37 |
41.27 |
41.27 |
39.40 |
39.40 |
34.43 |
34.43 |
30.09 |
30.09 |
CMS-1500 Continuous
2 Part (W/W) |
HCMS08 |
1000 |
44.37 |
44.37 |
41.27 |
41.27 |
39.40 |
39.40 |
34.43 |
34.43 |
30.09 |
30.09 |
UB-04 Continuous
1 Part |
HCMS09 |
2500 |
21.48 |
53.69 |
16.27 |
40.66 |
14.64 |
36.61 |
12.54 |
31.36 |
11.68 |
29.20 |
UB-04 Continuous
2 Part (W/W) |
HCMS10 |
1000 |
43.44 |
43.44 |
40.33 |
40.33 |
38.48 |
38.48 |
33.51 |
33.51 |
29.79 |
29.79 |
UB-04 Continuous
3 Part (W/W/W) |
HCMS11 |
500 |
65.15 |
32.57 |
62.06 |
31.03 |
58.96 |
29.48 |
53.36 |
26.68 |
48.41 |
24.21 |
UB-04 Continuous
4 Part (W/W/W/W) |
HCMS12 |
500 |
83.78 |
41.89 |
80.04 |
40.02 |
76.34 |
38.17 |
69.50 |
34.75 |
63.28 |
31.64 |
UB-04 LASER
1 Part |
HCMS16 |
2500 |
21.10 |
52.75 |
15.88 |
39.70 |
14.27 |
35.67 |
12.28 |
30.71 |
11.68 |
29.20 |
|
HCFA Envelopes - Gum or Self-Sealilng
| Description |
Stock # |
Carton
Quantity |
500 |
1000 |
2000 |
2500 |
5000 |
7,500 |
10,000 |
12,500 |
15,000 |
20,000 |
25,000 |
BLANK
Envelope "G"
#10 Window*-Tinted
Gum Flap |
G10 |
500 |
18.57/lot |
38.30 |
37.76 |
37.13 |
35.93 |
35.36 |
32.77 |
33.40 |
31.82 |
31.38 |
30.51 |
BLANK
Envelope "S"
#10 Window*-Tinted
Self-Sealing Flap |
S10 |
1000 |
N/A |
47.75 |
46.91 |
46.07 |
44.52 |
43.06 |
41.68 |
39.80 |
38.63 |
37.51 |
35.98 |
IMPRINTED
Envelope "G"
#10 Window*-Tinted
Gum Flap |
G10 |
500 |
46.44/lot |
76.82 |
71.05 |
69.67 |
65.84 |
64.65 |
60.28 |
59.28 |
55.22 |
53.39 |
52.17 |
|
*Window Position: 4 3/16" from left; 1 1/16" from bottom
Window Size: 4 1/2" x 1"
Imprinted Envelopes: Price includes black ink and line copy. Consult factory for additional charges.
Double Window Envelopes
| Size |
500 |
1000 |
2000 |
2500 |
5000 |
7,500 |
10,000 |
12,500 |
15,000 |
20,000 |
25,000 |
Envelope "A"
#9, inside tint, dry gum seal |
42.54/lot |
51.49 |
48.92 |
46.58 |
43.48 |
42.54 |
39.12 |
37.62 |
35.58 |
33.73 |
32.07 |
Envelope "B"
#9, no tint, dry gum seal |
N/A |
49.72 |
46.18 |
44.06 |
41.27 |
38.78 |
36.59 |
35.27 |
33.43 |
31.78 |
30.31 |
Envelope "A - SS"
#9, inside tint, self seal |
50.73/lot |
64.07 |
60.87 |
57.97 |
55.35 |
54.11 |
49.69 |
47.75 |
45.09 |
42.72 |
40.59 |
|
|