EXPRESS CHECK ORDER FORM First State Bank (217) 762-9431
Order the checks I ordered last time.
Special Instructions - Indicate any changes you would like in your order in the box below:
Order a different selection than what I ordered last time.
160 Duplicate-style Checks - $19.13 ($23.08 if mailed to you.)
Number of Boxes:
I will pick up my checks in the Monticello Bank Lobby.
I will pick up my checks at the Monticello Drive-Thru.
Please mail my checks to me. ($3.95 shipping added to check order.)
Address Printed on Checks:
* Name:
* Phone:
* Email:
Additional Comments: