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We offer very attractive pricing on standard HCFA/CMS 1500 and UB-92 forms. If you find a lower price advertised on the World Wide Web, please let us know. We believe our prices and terms are the best to be found online. Please click here to view our price list in PDF format (Acrobat Reader required)

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Continuous HCFA/CMS 1500 & UB- 92

1 Carton

2 - 10 Cartons

11 Cartons or More
1 Part HCFA  1500 - 2500 per carton - 29# Click here to purchase the lowest price medical forms on the net - HCFA 1500  15.99/m  39.97/ctn Click here to purchase the lowest price medical forms on the net - HCFA 1500  12.90/m 32.25/ctn Click here to purchase the lowest price medical forms on the net - HCFA 1500  10.90/m 27.25/ctn
1 Part HCFA/CMS 1500 - 2500 per carton - 29# with barcode Click here to purchase the lowest price medical forms on the net - HCFA 1500  15.99/m  39.97/ctn Click here to purchase the lowest price medical forms on the net - HCFA 1500  12.90/m 32.25/ctn Click here to purchase the lowest price medical forms on the net - HCFA 1500  10.90/m 27.25/ctn
1 Part UB-92 - 2500 per carton - 29# Discount pricing on UB-92 forms - Click Here to buy now.  15.99/m  39.97/ctn Discount pricing on UB-92 forms - Click Here to buy now.  12.90/m 32.25/ctn Discount pricing on UB-92 forms - Click Here to buy now. 10.90/m 27.25/ctn
1 Part UB-92 - 2500 per carton - 29# with barcode Discount pricing on UB-92 forms - Click Here to buy now. 15.99/m  39.97/ctn Discount pricing on UB-92 forms - Click Here to buy now. 12.90/m 32.25/ctn Discount pricing on UB-92 forms - Click Here to buy now. 10.90/m 27.25/ctn
Two Part HCFA/CMS 1500 - 1000 per carton - 21# Low cost HCFA 1500 two part forms - Click here to buy now.  34.00/m/ctn Low cost HCFA 1500 two part forms - Click here to buy now.  31.00/m/ctn Low cost HCFA 1500 two part forms - Click here to buy now.  26.00/m/ctn
Two Part HCFA/CMS 1500 - 1000 per carton - 21# with barcode Low cost HCFA 1500 two part forms with barcode - Click here to buy now.  34.00/m/ctn Low cost HCFA 1500 two part forms with barcode - Click here to buy now. 31.00/m/ctn Low cost HCFA 1500 two part forms with barcode - Click here to buy now.  26.00/m/ctn
Two Part UB-92 - 1000 per carton - 21# Low cost UB-92 two part forms - Click here to buy now.  34.00/m/ctn Low cost UB-92 two part forms - Click here to buy now.  31.00/m/ctn Low cost UB-92 two part forms - Click here to buy now. 26.00/m/ctn
Two Part UB-92 - 1000 per carton - 21# with barcode Low cost UB-92 two part forms with barcode - Click here to buy now.  34.00/m/ctn Low cost UB-92 two part forms with barcode - Click here to buy now. 31.00/m/ctn Low cost UB-92 two part forms with barcode - Click here to buy now. 26.00/m/ctn
Laser Cut Sheet - HCFA/CMS 1500 & UB-92      
One Part HCFA/CMS 1500 - 2500 per carton - 27# 15.99/m  39.97/ctn   12.90/m 32.25/ctn   10.90/m 27.25/ctn
One Part HCFA/CMS 1500 - 2500 per carton - 27# with barcode 15.99/m  39.97/ctn   12.90/m 32.25/ctn 10.90/m 27.25/ctn
One Part UB-92 - 2500 per carton - 27#   15.99/m  39.97/ctn   12.90/m 32.25/ctn   10.90/m 27.25/ctn
One Part UB-92 - 2500 per carton - 27# with barcode 15.99/m  39.97/ctn 12.90/m 32.25/ctn   10.90/m 27.25/ctn

HCFA/CMS 1500s AND UB-92s MAY BE COMBINED FOR TOTAL QUANTITY PRICE BREAK.

Envelopes for HCFA/CMS 1500

1 Box/500

2 -10 Boxes

11+ Boxes

10 1/2 Right Windows, will hold 6 - 10 folded HCFA/CMS 1500s. 500 per box.

   33.20/500   47.00/m (2 bx) 40.00/m (2 bx)

9 x 12.5 Upper Right Windows, will hold up to 40 unfolded HCFA/CMS 1500s. 500 per box.

   89.00/500   139.00/m (2 bx)   117.00/m (2 bx)
10 1/2 Right Windows, will hold 6 - 10 folded HCFA/CMS 1500s. 500 per box. Imprinted return address in black ink.    63.20/500    77.00/m (2bx)   60.00/m (2bx)
9 x 12.5 Upper Right Windows, will hold up to 40 unfolded HCFA/CMS 1500s. 500 per box. Imprinted return address in black ink. 119.00/500 169.00/m (2 bx)   137.00/m (2 bx)

BOTH SIZE ENVELOPES HAVE AN INSIDE PRIVACY TINT AND ARE SELF SEALING.

All HCFA/CMS-1500 forms come with or without the barcode. Please specify your choice.

Continuous HCFA/CMS-1500's also come in 3 through 6 part, if needed ... Ask Us.

All of the above are shelf items (full carton lots only) and will be shipped within 24 hours of receipt of order. Most of the time we will ship the same day we receive your order. Imprinted envelopes will ship within 4 working days. We will add $7.00 per box for shipping costs for all items.

FOB: Nearest Warehouse

J.O.T. Graphics, Inc.

1903 Hoover Court

Hoover , Alabama 35226

Phone: 205-979-1903 or toll free at 877-979-1903

Fax: 205-979-1106

 

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Last modified: January 03, 2008                                  Site Design, Hosting and Support by Sollicito, Inc.