HCFA/CMS 1500 Forms
| Continuous
HCFA/CMS 1500 & UB- 92 |
1 Carton |
2 - 10
Cartons |
11 Cartons
or More |
| One Part 2500 per carton - 29# |
15.99/m 39.97/ctn |
12.90/m 32.25/ctn |
10.90/m 27.25/ctn |
| Two Part 1000 per carton - 21# |
34.00/m/ctn |
31.00/m/ctn |
26.00/m/ctn |
| Laser Cut Sheet -
HCFA/CMS 1500 & UB-92 |
|
|
|
| One Part 2500 per carton - 27# |
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 or More |
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) |
| Imprinting FOR HCFA Envelopes |
|
|
|
| Corner Cut Imprinted return address in black
ink. |
30.00/500 |
30.00/m (2 bx) |
20.00/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 48
hours of receipt of order.
FOB: Nearest Warehouse
