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 Products for Optometrists (Customize Starting at $25.00*) 

* Any changes made by the customer after proof has been sent, other than what was originally written on the order form, will result in a $10.00 additional charge.

BLACK & WHITE
BUSINESS/APPOINTMENT CARDS

Business/Appointment Cards- 1,000      Price: $107.95
100# Brite White or Off White, black ink, 2 sides, 3 1/2" X 2"
Product ID: OD-501-2

 

Business/Appointment Cards- 500   Price: $ 151.95
Classic Linen, 1 standard color, 2 sides, 3 1/2" x 2"
Product ID: OD-501C-2

 

Business or Appointment Cards- 1000  Price: $71.95
100# Brite White or Off White, black ink, 1 side, 3 1/2" X 2"
Product ID: OD-501

FULL COLOR
BUSINESS/APPOINTMENT CARDS

Full Color Business/Appointment Cards -1,000  Price: $117.95
16 pt glossy or 100# uncoated, 4 over 4, UV coated on front,
Printed 2 sides, 3 1/2" X 2"

Product ID#: OD-501-2FC                 

 

Full Color Business/Appointment Cards -2,000  Price: $163.95
16 pt glossy or 100# uncoated, 4 over 4, UV coated on front,
Printed 2 sides, 3 1/2" X 2"

Product ID#: OD-501-2FC

CLAIM FORMS

Claim Form- Laser- 1,000  Price: $63.00
20 lb. white bond, 2 sides, red & black inks
(Laser Claim Form Ships in 24 hours)
500- $49.00   2,000- $99.00

 

Claim Form- 2,000     Price: $133.95
2/part carbonless, 2 sides, 2 colors
Product ID: OD-CMS-1500-2P


 

 CUSTOM CLAIM FORMS

Custom Claim Form- Laser- 1,000  Price: $207.00
20 lb. white bond, 2 sides, red & black inks

CONTACT LENS DO'S & DONT'S

Contact Lens Do's & Don'ts- 1,000  Price: $77.95
20 lb. white bond, 2 sides, black ink, 8 1/2" x 11
Product ID: OD-527-2

CONTACT LENS FITTING CARD

Contact Lens Fitting Card- 1,000   Price: $115.95
Canary Vellum, 2 sides, 5 1/2" x 8", Call to request samples
Product ID: OD-508-2  

CONTACT LENS FOLLOW-UP AGREEGMENT

Contact Lens Follow-up Agreement- 1,000   Price: $109.95
2/part carbonless, 1 side, black ink, 8 1/2" x 5 1/2
Product ID: OD-546-2P

CONTACT LENS HEALTH RECORD

Contact Lens Health Record- 1,000   Price: $106.95
67 lb. mint vellum, 2 sides, black ink, 8 1/2" x 5 1/2"

Product ID: OD-534-2

CONTACT LENS INFORMATION SHEET

Contact Lens Information Sheet- 1,000   Price: $77.95
20 lb. white bond, 2 sides, black ink, 8 1/2" x 11"
Product ID: OD-549-2

CONTACT LENS PRESCRIPTION

Contact Lens Prescription- 1,000 sheets, 20 pads   Price: $65.95
20 lb. white bond, black ink, 50 per pad, 5 1/2" x 4 1/4"

Product ID: OD-515-C

Contact Lens Prescription- 1,000, 2 part carbonless   Price: $92.95
2 part carbonless, 5 1/2" x 4 1/4", call for additional info
Product ID: OD-515-2PC
 

Contact Lens Prescription- 1,000, 3 part carbonless   Price: $115.95
3 part carbonless, black ink, 5 1/2" x 4 1/4"
Product ID: OD-515-3P

CONTACT LENS PRESCRIPTION & RELEASE

Contact Lens Prescription & Release- 500   Price: $129.95
2/part carbonless, black ink, 8 1/2'' X 11"
Product ID: OD-551-2P

Contact Lens Receipt Acknowledgement

1,000 sheets, 20 pads   Price: $63.95
20 lb. white bond, black ink, 50 per pad, 5 1/2" x 4 1/4"

Product ID: OD-601

 

1000, 2 part carbonless Price: $89.95

2 part carbonless, 5 1/2" x 4 1/4", call for additional info
Product ID: OD-601-2P

CONTACT LENS RECORD CARD

Contact Lens Record Card- 1,000   Price: $109.95
67 lb. canary vellum, 2 sides, black ink, 8 1/2" X 5 1/2
Product ID: OD-533-2

CONTACT LENS ORDER

Contact Lens Order- 500   Price: $89.95
2/part carbonless, 1 side, black ink,  8 1/2" x 5 1/2"
Product ID: OD-573-2P

ENGRAVED SIGNS

Engraved Signs per sign   Price: $34.95
Walnut Finish, 6 lines, 5" x 7", call for other sizes
Product ID: OD-517

ENVELOPES

Envelopes- 1,000   Price: $139.95

#10 regular 24 lb. white wove, 

Black ink 

**Free logo!**

Product ID: OD-504

Envelopes - Window- 1,000   Price: $149.95

#10 regular 24 lb. white wove,

Black ink 

**Free logo!**

Product ID: OD-505

Envelopes- 500   Price: $253.95

#10 classic laid or linen 1 side, 1/color 

Product ID: OD-522

 

EYE EXAM FORM

Eye Exam Form- 1000   Price: $107.95

20 lb. green bond, 2 sides, black ink, 8 1/2" x 11”

Product ID: OD-622-2

EYE EXAM SURVEY

Eye Exam Survey- 500 sheets, 10 pads   Price: $49.95
50 sheets per pad, 20 lb. white bond, black ink, 5 1/2" X 4 1/4"
Product ID: OD-1032

EYEGLASS RX

Eyeglass Rx- 1,000 sheets, 20 pads   Price: $65.95
20 lb. white bond, black ink, 50 per pad, 5 1/2" x 4 1/4"

Product ID: OD-515

 

Eyeglass Rx- 1,000, 2 part carbonless   Price: $92.95
2 part carbonless, 5 1/2" x 4 1/4", call for additional info
Product ID: OD-515-2P
 
Eyeglass Rx- 1,000, 3 part carbonless   Price: $129.95
3 part carbonless, black ink, 5 1/2" x 4 1/4"
Product ID: OD-515-3P


 

EYEGLASS/CONTACT LENS PRESCRIPTION

Eyeglass/Contact Lens Prescription- 1,000   Price: $103.95

Printed 1/side, Black ink, 8 1/2” x 5 1/2”, 60# offset

Product ID: OD-515-EC

Padded in 100's: $137.95


Eyeglass/Contact Lens Prescription- 2/part carbonless- 1,000   Price: $143.95

Printed 1/side, Black ink, 8 1/2” x 5 1/2”

Product ID: OD-515-2P-EC

EYEGLASS/CONTACT LENS PRESCRIPTION

Eyeglass/Contact Lens Prescription- 1,000   Price: $69.95

Printed 1/side, Black ink, 5 1/2” x 4 1/4”, 20 lb. white bond

Product ID: OD-515-EC-VS

Eyeglass/Contact Lens Prescription- 2/part carbonless- 1,000   Price: $95.95

Printed 1/side, Black ink, 5 1/2” x 4 1/4”

Product ID: OD-515-EC-VS-2P

HIPPA PRIVACY NOTICE

OD-513

8 1/2"x 11"

20# white bond, printed 1/side, black ink

1000 $89.95

SUN WORK COMPUTER SAFETY RX

Sun Work Computer Safety RX- 1,000   Price: $189.95
3/part carbonless, black ink, 8 1/2'' X 11"
Product ID: OD-515-3P SWCS

PRIMARY RX/SUN RX

Primary Rx/Sun Rx- 1,000   Price: $129.95
2 part carbonless, black ink, 4 1/4" X 8 1/2"

Product ID#: OD-515-2P-8.5
 

Primary Rx/Sun Rx- 2,000   Price: $207.95
2 part carbonless, black ink, 4 1/4" X 8 1/2"

Product ID#: OD-515-2P-8.5


Tamper resistant paper available.  Call for pricing.



Product ID: OD-516
Price: $ 32.95

 

GIFT CERTIFICATES

Gift Certificates- 50   Price: $32.95
Tan with black ink, matching #10 envelope, 8 1/2" X 3 5/8"
Product ID: OD-516

GLAUCOMA TRACKING SHEET

Glaucoma Tracking Sheet- 50   Price: $27.95
110 lb. green index, 1 side, black ink, 8 1/2" x 5 1/2"
Product ID: OD-530

LETTERHEAD

Letterhead- 500   Price: $103.95
White Strathmore bond, black ink, 8 1/2" x 11"
Product ID: OD-510
 
Letterhead- 1,000   Price: $163.95
24 lb. harbor grey, 1 side, burgundy ink, 8 1/2" x 11"
Product ID: OD-526
 
Letterhead- 500   Price: $93.95
Classic Laid Chatham Tan, 1 side, 2 colors, 8 1/2" x 11"
Product ID: OD-523

 Letterhead- 500   Price: $80.95
24 lb. bright white synergy bond, 25% cotton, light cockle finish, 
1 side, black ink,  8 1/2" x 11"

Product ID: MD-742

MAILING LABEL

Mailing Label- 500   Price: $97.95
Size 3" x 4" white litho or white gloss, available with perf between each label for additional $35.00. Choose ink color: black, red, yellow, blue, or green. Laser and computer labels available....call for information.
Product ID: OD-467

CUSTOM MEMOS

Custom Memos- 5 pads   Price: $65.95

Custom Memos- 10 pads Price: $79.95

Custom Memos- 20 pads Price: $121.95

8 ½” X 5 ½”, 20# White Bond, 50 sheets per ad 

Product ID: OD-606, 

NAME BADGES

Name Badges- Price: $13.95
(3" x 1") Pin-back
Military Clutch and Swivel Clip available ($1.50 additional charge)
Magnetic-back available ($3.75 additional charge)
Full color and logo available.  Call for pricing.

New Location Cards

1000 OD-506-2 NL-FC 

6" X 4"  14 PT  cover, prtd. 2/sides,

Full Color on Front, black ink on reverse side

$159.95

PATIENT INFORMATION FORM

Patient Information Form- 1,000   PRICE: $119.95
60 lb. white bond, 2 sides, black ink, 8 1/2" x 11
Product ID: OD-528-2-60

PATIENT RECORD CARD CONTINUED

Patient Record Card CONTINUED- 1,000   Price: $103.95
67 lb. vellum, 2 sides, black ink, 5 1/2" x 8 1/2"
Product ID: OD-519
 
Patient Record Card CONTINUED, Color- 1,000   Price: $106.95
67 lb. colored vellum, 2 sides, black ink, 5 1/2" x 8 1/2"
Product ID: OD-519A

PATIENT RECORD CARD

Patient Record Card- 1,000   Price: $103.95
67 lb. vellum, 2 sides, black ink, 5 1/2" x 8 1/2"
Product ID: OD-518

Patient Record Card, Color- 1,000 Price: $106.95
67 lb. colored vellum, 2 sides, black ink, 5 1/2" x 8 1/2"
Product ID: OD-518A

PATIENT REFERRAL FORM

Patient Referral Form- 1,000   Price: $109.95
2 part carbonless, black ink, 5 1/2" x 8 1/2"
Product ID: OD-509-2P

PAYMENT AGREEMENT

Payment Agreement- 500   Price: $89.95
2 part carbonless, printed on 1 side, black ink, 8.5" X 5.5"
OD-466-2P

Payment Agreement- 1,000   Price: $109.95
2 part carbonless, printed on 1 side, black ink, 8.5" X 5.5"
OD-466-2P



HIPPA ACKNOWLEDGEMENT OF RECEIPT STAMP

HIPPA Acknowledgement of Receipt Stamp-   Price: $47.50
Self-inking stamp,

black, blue, red, or green ink, 3" x 1 1/2"
Product ID: S60

 

TAMPER RESISTANT RX
Tamper Resistant Pharmaceutical Rx- 100 sheets per pad, 5 pads   Price: $69.95
Tamper resistant bond, black ink, 50 per pad, 5 1/2" x 4 1/4"
Product ID: OD-502-SG

2 Part Tamper Resistant Eyeglass Rx- 500, 50 per pad   Price: $105.95
2 part carbonless tamper resistant bond, black ink, 5 1/2" x 4 1/4"
Product ID: OD-502-2-SG

 

PHARMACEUTICAL RX PADS

Pharmaceutical Rx Pads- 20 pads, 1,000 sheets   Price: $65.95
20 lb. white bond, 50 sheets per pad, 5 1/2" x 4 1/4"
Product ID: OD-502
 
Pharmaceutical Rx- 1000   Price: $92.95
2 part carbonless, black ink, 5 1/2" x 4 1/4"
Product ID: 
OD-502-2P

POST-IT PATIENT ORDERS

Post-it Patient Orders- 40 pads, 2,000 sheets   Price: $143.95
Canary 20# bond, black ink, 50 per pad, 4" x 6"
Product ID: OD-540-PO-C

POST-IT Technician YES/NO

Post-it - Technician Yes/No- 40 pads, 2,000 sheets   Price: $112.95
Canary 20# bond, black ink, 50 per pad, 4" x 3"
Product ID: OD-540-C 4.3

RECALL CARDS

Recall Cards - 1000   Price: $79.95
White 67# Vellum, black ink, 5 1/2" x 3 1/2"
Product ID: OD-506


Recall Cards- 1000   Price: $89.95
Blue 65# Cover, black ink, 5 1/2" x 3 1/2"
Product ID: OD-506-B

FULL COLOR RECALL CARDS

Full Color Recall Cards- 1,000   Price: $112.95
6" X 4" (SAMPLES SHOWN)

****$18.95 additional for initial personalization
Product ID: OD-506-2FC

RECORD RELEASE PAD

Record Release Pad- 10 pads, 500 sheets   Price: $49.95
20 lb. white bond, 
1 side, 50 per pad, black ink

Product ID: OD-520

SELF-INKING STAMP


SMALL Self-Inking Stamp, 9/16”x 1-1/2”   Price: $20.38

Each: BLACK, RED or BLUE ink, **4 lines of type** 

Product ID: OD-KS-S

MEDIUM Self-Inking Stamp, 7/8”x 2-3/8”   Price: $22.81

Each: BLACK, RED or BLUE ink, **4 lines of type**

Product ID: OD-KS-S

LARGE Self-Inking Stamp, 1”x 2-1/2”   Price: $25.25

Each: BLACK, RED or BLUE ink, **4 lines of type**

Product ID: OD-KS-S


JUMBO Self-Inking Stamp, 1-1/2”x 3”   Price: $32.52

Each: BLACK, RED or BLUE ink, **4 lines of type**

Product ID: OD-KS-S

SIGN-IN SHEETS

Sign-in Sheets- 10 pads, 500 sheets   Price: $92.95
20 lb. white bond, 1 side, 50 per pad, 8 1/2" x 11
Product ID: OD-524

SOFT CONTACT LENS CARE & HANDLING

Soft Contact Lens Care & Handling- 500   Price: $129.95
2/part carbonless, 1 side, black ink, 
8 1/2" x 11"
Product ID: OD-543-2P

SUPER BILL

Super Bill- 250   Price: $73.95

20 lb. white bond, printed 1 side, black ink

Product ID: OD-535


Super Bill- 500   Price: $97.95

20 lb. white bond, printed 1 side, black ink

Product ID: OD-535

Super Bill- 1,000   Price: $133.95

20 lb. white bond, printed 1 side, black ink

Product ID: OD-535

Super Bill- 2,000   Price: $239.95

20 lb. white bond, printed 1 side, black ink

Product ID: OD-535

Super Bill- 500   Price: $161.95

2/part carbonless  printed 1 side, black ink

Product ID: OD-535-2P

Super Bill- 500   Price: $267.95

3/part carbonless , printed 1 side, black ink

Product ID: OD-535-3P

WELCOME TO OUR OFFICE

Welcome to Our Office- 1,000   Price: $89.95
20 lb. bond,1 side, black ink, 8 1/2" x 11"
Product ID: OD-525


Welcome to Our Office- 2,000   Price: $117.95
20 lb. bond,1 side, black ink, 8 1/2" x 11"
Product ID: OD-525

YOUR CONTACT LENS MAY BE RUNNING OUT

Your Contact Lenses May be Running Out- 1,000   Price: $71.95
67 lb.colored vellum, 2 sides, black ink, 5 1/2 x 3 1/2
Product ID: OD-558

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Keskes Printing
5 West Taunton Avenue
Berlin, NJ 08009
Phone: (856) 767-4733
OPEN: Monday to Friday- 8am to 5pm
Email: keskes.pc@verizon.net

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