Check Order Form*
 
 
 It's very simple to pay for our products / services  with a check.  
Simply complete
the form below, and we will draft your 
checking account for the amount you authorize.
 

All orders will be processed by:
  
K & L Enterprises -  PO Box 1817 - Broken Arrow, Oklahoma 74013 
1-918-258-2806 -Toll Free Order line: 1-800-840-9213 - Fax: 1-918-802-4251
 *Please print this page, and Mail to Address above or Fax to the above number
Or Call the Toll Free Order line and we will take the information over the phone. 
Name: 
E-Mail: 
Company: 
Mailing Address: 
City, State, Zip:  , 
Phone: 
Item(s) Ordered / Comments: 
Payment Type  Online Check 
Online CHECK Info (USA only)  
Please use the check at the right 
to complete the information below.		  
*The sets of  numbers are not always in this order
Name On Check ("A" from above)
Address on Check: ("A" from  above)
City / St / Zip on Check: ("A" from  above)
Bank Name: ("B" from above)
Bank City & State: ("C" from above)
Check Number: ("D" from above)
A.B.A. Fraction: ("E" from above)
Routing Number (9 Digits): ("F" from above)
Account Number: ("G" from above)
All Numbers From Bottom of Check: 
(see instructions to right) This is Redundant, but it 
will insure accuracy.
Amount of Check:

Paying By Check by Phone Or Fax offers you the same convenience as with a credit card. You may use this feature only in the Unite Sates only.