2015 Tax Forms Order Form

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Tax
Forms
2015
Order
Form
“Ship To” Location
(if different from Billing Address)
Check box if new address
Date ________________________
Company Name _____________________________
Account # ______________ PO # ______ Placed by ____________
Attn/PO # __________________________________
Customer Name __________________________________________
Street _____________________________________
Street ___________________________________________________
Suite, Floor, Other ___________________________
City _____________________ State _________ ZIP ___________
City _______________ State _______ ZIP ______
Phone ___________________ Fax __________________________
Special Instructions/Ship Via:
Stock Forms, Envelopes and Software
Quantity
Form Number and Description
__________________________________________
___________ ___________________________________________
__________________________________________
___________ ___________________________________________
__________________________________________
___________ ___________________________________________
__________________________________________
___________ ___________________________________________
__________________________________________
___________ ___________________________________________
__________________________________________
___________ ___________________________________________
__________________________________________
___________ ___________________________________________
__________________________________________
___________ ___________________________________________
Imprint Information:
Please type or print clearly
___________ ___________________________________________
___________ ___________________________________________
1. ________________________________________
Imprinted Forms
2. ________________________________________
Quantity
Form Number and Description
3. ________________________________________
___________ ___________________________________________
4. ________________________________________
___________ ___________________________________________
5. ________________________________________
___________ ___________________________________________
Federal ID # ________________________________
___________ ___________________________________________
State ID # __________________________________
___________ ___________________________________________
State Abbr.
__________________
(from W-2 box 15 only)
___________ ___________________________________________
Phone ____________________________________
Calendar Year
_______________________
___________ ___________________________________________
(if required)
Fax completed form to (484) 368-3938 or scan
and email the form:
When ordering, specify the number of employees/forms needed.

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