Omaha Federal Credit Union

Check Order Form

Please provide all of the requested information. When you have completed the form, press the "Submit�Application" button to send your application to Omaha Federal Credit Union for processing, or you may simply print this form and fax it to (402) 399-0129.

��1. MEMBER INFORMATION

FULL NAME As it should appear on your checks ADDRESS CITY ST ZIP MEMBER NUMBER

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If you would like your telephone number and/or drivers license number printed on your checks, please enter the information here. PHONE NUMBER DRIVERS LIC NO

��2. PRINTING INSTRUCTIONS

CHECK STYLE - Please Select - Anne Geddes African-American History Precious Moments Major League Baseball Learn & Grow Hope & Courage Heroes Let Freedom Ring Humane Society America the Beautiful Floral Fantasy Latin Landscapes Colonial Classic Signature Thomas Kindade Childrens Miracle Emerald Elegance Int'l Speedways Bear Hugs American Treasures Reflections Rail Ways Ocean Beauty Jeweled Elegance Wildlife Portraits World Wildlife Fund LETTERING STYLE None Lubalin Copperplate Cursive Helvetica Kabel Times Old English Script

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SYMBOL (There is an additional charge for this feature) None Letter State Flower Earth Desert Sailboat Dove Music Heart Teddy Bear Tropical Kitten Flag Prayer Golf Happy Face Cow Dog Cat Horse If "Letter" or "State" was selected, enter the Letter or the State