UB04 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x...
$169.99
Required by Centers for Medicaid and Medicare Services (CMS) and by most private healthcare organizations, these forms speed up claims processing...
Write 'n Stick Phone Message Pad, 2 3/4 x 4 3/4, Two-Part Carbonless, 200 Forms
$8.79
Tax excluded
Give your messages the attention they deserve. Stick your messages where they will get noticed with the repositionable adhesive on the back of part one while part two remains in spiral binding for your permanent records. Carbonless.
ABFSC1153WS
2196 Items
Data sheet
- Special Features
- Carbonless Duplicate
- Binding
- Side
- Paper Color(s)
- White
- Paper Color(s)
- Blue
- Global Product Type
- Forms-Memo & Message
- Pre-Consumer Recycled Content Percent
- 0%
- Post-Consumer Recycled Content Percent
- 0%
- Total Recycled Content Percent
- 0%
- Form Size
- 4 3/4 x 2 3/4
- Forms Per Page
- 4
- Form Quantity
- 200
- Sheet Size
- 11 x 5 1/4
- Principal Heading(s)
- Message For
- Layout
- Four Forms Down Page
- Print and Ruling Color(s)
- Blue
- Copy Types
- Two-Part Carbonless
- Copy Paper Color(s)
- Canary
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Give your messages the attention they deserve. Stick your messages where they will get noticed. Part one includes repositionable adhesive on back, while part two remains in spiral binding for your permanent records.