Freedom Systems Home page

Order Form Request - W2

Please fill out all information so your order can be processed.

Municipality:
Contact Name:
Phone Number:
E-Mail Address:
Fax:
Street Address:
City:
State:
Zip Code:

Items Ordered
Number of Continuous Feed W-2s Ordered:	x $0.30
	50 employee minimum, increments of 2 after
Number of Laser IMSS Plus W-2s Ordered:	x $0.95
	25 sheet per pack = 50 employees, increments of 50 after
Number of envelopes Ordered:	x $0.15
	Number of Continuous Feed and Laser IMSS envelopes Ordered
Number of PRISM Laser W-2s Ordered:	x $0.95
	25 sheets per pack = 25 employees, order in increments of 25
Number of PRISM envelopes Ordered:	x $0.45
	Number of Prism envelopes Ordered
Number of W-3 Summary Forms Ordered	x $0.95
One(1) W-3 Form is required to summarize the W-2 transmittal to the Social Security Administration. Two(2) W-3 Forms are included with any order equal to $25.00 or more. All orders shipped UPS ground. Shipping costs are additional.