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CMS Forms and Envelopes

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

19.13

47.79

14.49 36.19 13.67 34.19 11.59 28.96 11.01 27.52
CMS-1500 Continuous
1 Part
HCMS04 2500 20.05 50.10 15.18 37.94 13.67 34.18 11.71 29.26 10.90 27.33
CMS-1500 Continuous
2 Part (W/C)
HCMS06 1000 41.42 41.42 38.52 38.52 36.78 36.78 32.15 32.15 28.09 28.09
CMS-1500 Continuous
2 Part (W/W)
HCMS08 1000 41.42 41.42 38.52 38.52 36.78 36.78 32.15 32.15 28.09 28.09
UB-04 Continuous
1 Part
HCMS09 2500 20.05 50.10 15.18 37.94 13.67 34.18 11.71 29.26 10.90 27.23
UB-04 Continuous
2 Part (W/W)
HCMS10 1000 40.55 40.55 37.65 37.65 35.92 35.92 31.28 31.28 27.81 27.81
UB-04 Continuous
3 Part (W/W/W)
HCMS11 500 60.82 30.41 57.93 28.96 55.04

27.52

49.82 24.92 45.19 22.59
UB-04 Continuous
4 Part (W/W/W/W)
HCMS12 500 78.21 39.10 74.72 37.37

71.26

35.63 64.88 32.44 59.08 29.55
UB-04 LASER
1 Part
HCMS16 2500 19.70 49.24 14.83 37.08 13.32 33.31 11.47 28.67 10.90 27.23


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 17.34/lot 35.76 35.25 34.66 33.54 33.01 30.59 31.18 29.71 29.29 28.49
BLANK
Envelope "S"
#10 Window*-Tinted
Self-Sealing Flap
S10 1000 N/A 45.01 44.21 43.43 41.96 40.59 39.29 37.51 36.41 35.36 33.91
IMPRINTED
Envelope "G"
#10 Window*-Tinted
Gum Flap
G10 500 43.35/lot 71.72 66.33 65.04 61.47 60.35 56.27 55.34 51.55 49.84 48.70

*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
39.71/lot 48.07 45.67 43.49 40.59 39.71 36.52 35.12 33.21 31.49 29.94
Envelope "B"
#9, no tint, dry gum seal
 N/A 46.42 43.11 41.14 38.52 36.20 34.16 32.92 31.20 29.67 28.29
Envelope "A - SS"
#9, inside tint, self seal
47.36/lot 59.82 56.83 54.12 51.67 50.51 46.39 44.57 42.10 39.88 37.89


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