Showcase Business Forms Co.
4200 Forbes Blvd, Suite 124 • Lanham, MD 20706
Tel (301) 459-2011 • Fax (301) 459-2112
E-mail: showcasebusinessforms@verizon.net • www.showcasebf.com
HEALTH INSURANCE CLAIM FORMS
Standard AMA Approved
Single Sheets
(Unimprinted)
500
$29
With or Without Bar Code
1000
$48
2500
$65
Padded Sheets
(Unimprinted)
500
$40
100 Sheets per Pad
1000
$60
With or Without Bar Code
2500
$100
1 Part Continuous
(Unimprinted)
2500
$48
With or Without Bar Code
2 Part Continuous
(Unimprinted)
1000
$48
White, Canary or White, White
With or Without Bar Code
Also available: 2 Part Snap Sets and Imprinted Single or Padded Sheets.
Please call for a quote.
Filter Type:
QTY OF FORMS:
500
1000
2500
Single Sheets
Padded Sheets
1 Part Continuous
2 Part Continuous
With Bar Code
Without Bar Code
White, Canary
White, White
COMPANY:
ADDRESS:
CITY/ST/ZIP:
ATTENTION:
PHONE:
EMAIL:
NOTES:
I understand that I will be billed the appropriate amount plus tax and shipping.
Terms: Net 20
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