Left Running Ticket
Tamper Resistant
CMS Prescription Laser Sheets

KWIKTICKETS.COM Inc.

Toll Free: 1-877-515-5219 or Fax: 724-438-6050
Email: orders@kwiktickets.com

Your on-line source for numbered Tickets and more!
Right Running Ticket

Tamper Resistant and Security Features!!

Email Us / Main Menu

Toll Free 1-877-515-5219
All information given on this page is encrypted and on a Secured Server for your privacy.

Ready For October 2008 Requirements 
Each of our security prescription paper items meets - and exceeds - the October 2008 requirements set by the
Centers for Medicaid and Medicare Services (CMS). Remember that by October 1st,  to be considered tamper-resistant,
a security paper item must contain at least three security features.  

Security features on the Prescriptions are:
  • Size 8 ½" x 11 ".
  • Stock 60# Offset.
  • Tamper resistant background ink shows attempts to alter scripts.
  • Penetrating ink is used to prevent chemical "lifting" of information.
  • High security watermark on backside, which can not be copied.
  • Hidden security "VOID" appears when photocopied.
  • Copy resistant security pantograph discourages duplication.
  • Micro-Lock Logo and security screen with INK THAT RESPONDS TO WARMTH. Hold between thumb and forefinger or breathe on it - THE LOCK LOGO WILL FADE AND DISAPPEAR.
WARNING: ABSENCE OF THE FOLLOWING SECURITY FEATURES
MAY INDICATE ALTERATION.
 

Choose Quantity & Price For Prescription Laser Sheets:



METHOD OF SHIPPING
Ground (5 days or less to most US locations)
Second day Air

Next day Air


To order by FAX or Mail
Download this order form
Prescription Pad Order Form
and fax your order to 724 - 438 - 6050.

Or fill out the information below for secured online ordering.

Your Order Information
( * Designates Required Fields )

*Your Name:

Company/Org. :

*Shipping Address:

*Shipping is? :

Residential Business
*CityStateZip:
*Phone:
Fax: Used for your proofs
*E-mail:

*Credit Card:

Card Address:


Address
City, State, Zip

*Name On Card:

*Card Number:

*Expiration Date:

|

*CVV/CID (security code):

*Special Instructions or Comments:

Security Image Verification
Type the characters below, exactly as shown into the box provided.
Captcha Security Code: Enter Security Code Below:  

Please review your order!
 

If you do not receive an order confirmation or proof within 24 Hours,
please contact our office:

Toll Free 877-515-5219 / Email us

Questions?
Need something different? Prefer to talk to a real person?
Call us Toll Free
1-877-515-5219, Fax: 1-724-438-6050
Office Hours 8:00 a.m. - 5:00 p.m. EST
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