Select Format Style:                 VICS Continuous Carbonless STYLE               DESCRIPTION                       101 –14 7/8 X 11, 3 part NCR Bill of Lading on left, supplemental form right.             102 - 14 7/8 X 11, 4 part NCR Bill of Lading on left, supplemental form right. 103 -  9 ½  X  11, 3 part NCR Bill of Lading with supplemental form below. 104 -  9 ½  X  11, 4 part  NCR Bill of Lading with supplemental form below. 105 -  9 ½  X  11, 3 part NCR Bill of Lading (Standard) 106 – 9 ½  X  11, 4 part NCR Bill of Lading 107 -  9 ½  X  11, 3 part Supplemental Forms (Standard) 108 -  9 ½  X  11, 4 part Supplemental Forms VICS Snap Set Carbonless: STYLE               DESCRIPTION                     109 – 8 ½ X 11 5/8  3 part Bill of Lading   110  - 8 ½ X 11 5/8  4 part Bill of Lading 111 -  8 ½ X 11 5/8  3 part Supplemental Form 112 – 8 ½  X 11 5/8 4 part Supplemental Form   VICS Laser Form Carbonless:   STYLE               DESCRIPTION                       113 – 8 ½ X 11 Xeroform 3 part Bill of Lading 114  - 8 ½ X 11 Xeroform 4 part Bill of Lading 115  - 8 ½ X 11 Xeroform 3 part Supplement 116  - 8 ½ X 11 Xeroform 4 part Supplement              VICS Miscellaneous:   STYLE               DESCRIPTION                       117 - 14 7/8 X 22   4 up French and English form	VICS Forms Price Request No: Date: Need By:
	Please select a style number from the left column.  VICS Style Number:  Quantity to Order: Alt. Style Number:  Alt.  Quantity to Order:  Imprint Information: Starting Number for Bill of Ladings:   Company UCC #:      Information Required for Pricing VICS Forms: Will you require:  Consecutive Bar Codes? Yes No  Mod 10 numbering on the Bill of Lading? Yes No Special  “terms and conditions” printed on the back of B/L forms? Yes No Is your company name and address to be imprinted on forms?   Yes No  If yes complete  Is your company logo to be imprinted?  Yes No If so, is a graphic file available?  Yes No What volume does the order quantity represent?  Weekly Monthly Quarterly Annual
Imprint Information: Company Name Address City, State Zip ,	Ship To Information Company Name Address City, State Zip ,
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