New Jersey Prescription Blanks – 2 Part, Personalized, 4" W x 5-1/2" H, 100 Sets/Pad, 5 Pads/Pkg - Eye Wear Prescription, Call 800.637.1140 for Prescription Blank Order Form.
Product Description
# of Parts: 2 part, Dimensions: 4" W x 5-1/2" H, Ink Color: Black, Logo: N, Manufacturer Name: PATTERSON OFFICE SUPPLIES, Material: Two-Part Carbonless (second part yellow), Package Quantity: 100 Sets/Pad; 5 Pads/Pkg, Product Color: White/Yellow, Security Features: <ul><li>State seal pantograph printed on front and back of each blank</li> <li>Barcode</li> <li>Serial number starting at 0001 </li> <li>2 Part – Both parts printed</li> <li>Formatted and printed per state requirements.</li> <li>State law requires all prescription orders to be faxed or mailed. Call 1-800-637-1140 for an order form.</li> <li>State law requires an adult signature upon delivery of all prescripiton blank orders. An additional charge may apply.</li></ul>
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