Why print your statements out on plain copy paper? These colorful 8-1/2 x 11 horizontally perforated laser statement papers will get your bills noticed! You’ll create a professional image and make it easy for patients to tear off the remit portion and send in their payment. Accept credit cards? Don’t forget to let your patients know. For a nominal fee we can pre-print credit card information on the back of the laser statement paper, with “SEE REVERSE FOR CREDIT CARD PAYMENT” on the front.

We can also create a statement that looks just like this, but with your logo printed at the top. Call or email for quote. Remittance envelopes and single or double window outer envelopes compatible with your software program are also available.

8-1/2 x 11, horizontal perforation 3-2/3” from top, 24 pound bond paper, 1000 per carton. Light image of two toothbrushes in a glass is printed across the entire paper.

This form is available in brown and blue. To view the other color and compatible envelopes, please see the related products below.

Pricing and Customization (If Applicable)
Product #	2114
Imprint?	No Yes
M	0.5 ($104.00 Per M) 1 ($71.00 Per M) 1.5 ($67.00 Per M) 2 ($70.00 Per M) 2.5 ($68.00 Per M) 3 ($63.00 Per M) 3.5 ($62.00 Per M) 4 ($62.00 Per M) 4.5 ($57.00 Per M) 5 ($55.00 Per M) 6 ($55.00 Per M) 7 ($55.00 Per M) 8 ($55.00 Per M) 9 ($55.00 Per M) 10 ($55.00 Per M) 1,000 per M
Imprinted (M)	0.5 ($138.00 Per M) - Imprinted - 1 Side 1 ($106.00 Per M) - Imprinted - 1 Side 1.5 ($102.00 Per M) - Imprinted - 1 Side 2 ($105.00 Per M) - Imprinted - 1 Side 2.5 ($102.00 Per M) - Imprinted - 1 Side 3 ($92.00 Per M) - Imprinted - 1 Side 3.5 ($92.00 Per M) - Imprinted - 1 Side 4 ($92.00 Per M) - Imprinted - 1 Side 4.5 ($92.00 Per M) - Imprinted - 1 Side 5 ($90.00 Per M) - Imprinted - 1 Side 6 ($90.00 Per M) - Imprinted - 1 Side 7 ($90.00 Per M) - Imprinted - 1 Side 8 ($90.00 Per M) - Imprinted - 1 Side 9 ($90.00 Per M) - Imprinted - 1 Side 10 ($90.00 Per M) - Imprinted - 1 Side 0.5 ($158.00 Per M) - Imprinted - 2 Side 1 ($126.00 Per M) - Imprinted - 2 Side 1.5 ($123.00 Per M) - Imprinted - 2 Side 2 ($125.00 Per M) - Imprinted - 2 Side 2.5 ($116.00 Per M) - Imprinted - 2 Side 3 ($113.00 Per M) - Imprinted - 2 Side 3.5 ($113.00 Per M) - Imprinted - 2 Side 4 ($113.00 Per M) - Imprinted - 2 Side 4.5 ($113.00 Per M) - Imprinted - 2 Side 5 ($111.00 Per M) - Imprinted - 2 Side 6 ($111.00 Per M) - Imprinted - 2 Side 7 ($111.00 Per M) - Imprinted - 2 Side 8 ($111.00 Per M) - Imprinted - 2 Side 9 ($111.00 Per M) - Imprinted - 2 Side 10 ($111.00 Per M) - Imprinted - 2 Side 1,000 per M
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