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.
Check Style
160 Duplicate-style Checks - $14.95 ($18.90 if mailed to you.)
Number of Boxes:
I will pick up my checks in the Bank Lobby.
I will pick up my checks at the Drive-Thru.
Please mail my checks to me. ($3.95 shipping added to check order.)
Address Printed on Checks:
* Name:
* Phone:
* Email:
Additional Comments: