New Jersey State Law requires that all Rx Paper Orders are shipped to the address
on file with the State of New Jersey.

After submitting your order .....
the Micro Format Compliance Department on behalf of Printco, Inc., requires that you
send a copy of your State License to our customer service department by FAX
FAX Number (847)520-0197

Orders will be processed
ONLY after we have received a copy of your State License by Fax.

Failure to send your License will delay the production of your order.

NOTICE
WITHOUT EXCEPTION,
Your order WILL NOT BE PROCESSED until your License has been received.

It is for your protection.
We appreciate your co-operation with this requirement.

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New Jersey State Law requires that Micro Format, on behalf of Printco, Inc., maintains on file the signature for each prescriber that appears on the script.
If more than on prescriber appears, the RESPONSIBLE PRESCRIBER must be indicated.

Please visit
www.newjerseyrxpaper.com/FileSignature.pdf
to obtain the required signature document.
Please complete this document and send it by FAX to Micro Format, Inc.
FAX# 847-520-0197