Digital Imaging Order Form
TROY Group, Inc. Digital Imaging Order Form
TROY Group, Inc. offers a variety of digital imaging services for TROY and Hewlett-Packard printers. Digitized signatures
and/or logos can be provided to you on a DIMM, Card, USB or via E-MAIL. This order form will guide you through the process
of ordering digitized signatures and logos.
Technical Information and Ordering Instructions:
1. If you have any questions, please contact your reseller, or TROY Digital Imaging Administrators directly by calling (800)
332-MICR (6427), or via e-mail at Digitalimg@troygroup.com.
2. Please be sure you have the most current Digital Imaging Order Form to ensure order accuracy by visiting our web site:
http://www.troygroup.com/products/digital/signature_logo.aspx
3. Please complete all applicable steps shown below on this page as required, based on the items ordered. Also supply all
requested information on each form before sending the designated pages back to TROY Group.
4. Normal order processing is 5 to 7 business days. An order can be expedited to a 2 business day order processing for an
additional cost.
5. Digital Imaging orders will not be completed or may be delayed if any of the requested information on any of the
returned forms is missing or incomplete.
6. RESELLERS NOTE: TROY Group may need to contact the customer directly to ensure customer satisfaction.
7. Prepayment is required for all Digital Imaging Orders. You may use your credit card or set up a credit account by
contacting the TROY Digital Imaging Administrators directly at (800) 332-MICR (6427).
8. Actual freight charges are determined upon shipping. Payment terms are prepaid or NET 30 upon credit or account
approval. Applicable taxes apply.
9. Documents that must be mailed back to TROY (using the address labels provided at the back of this order form) are
marked with this symbol:
10. New image orders will default to the 1 LPI (lines per inch) image cell format. New customers, with no prior image
format established with TROY, will have their images processed in this format, unless requested otherwise.
11. Signatures and logos are limited to a maximum printed size of 1" X 3" for the 1 LPI format product (for customers that
have not had an image previously prepared by TROY) and 0.63" X 3.30" for the 6 and 8 LPI format product (for
customers that have had an image previously prepared in this format by TROY). Signatures/logos that exceed the
length limit can be easily accommodated by the addition of cells to the length of the image block. The height limit
should be maintained if possible for the purpose of keeping the metric files standard in the event that additional
signatures and logos are added later. Custom files are also available from TROY (please call for a quote).
~ If you have any questions please contact us at 1-800-332-MICR (6427) or Digitalimg@troygroup.com ~
Document #11-19295-001 Rev. R Page 1
Digital Imaging Order Form
New Digital Imaging Signature/Logo
Kits
Troy Signature/Logo Serial Bus Kit 600
(Do NOT use for the 617 printer. See Item #5 )
Troy S
ignature/Logo Serial Bus Kit
Troy Signature/Logo
Card Kit
Troy Signature/Logo
DIMM Kit
Duplicate Digital Imaging
Signature/Logo Kits
Duplicate
Troy Signature/Logo Serial
Bus Kit 600
Duplicate
Troy S
ignature/Logo Serial Bus Kit
Duplicate
Troy Signature/Logo Serial Bus Kit
3015
Duplicate
Troy Signature/Logo
Card Kit
Duplicate
Troy Signature/Logo
DIMM Kit
Additional Images
Transfer Image Fee
(
Transfers an
existing image from a previous job
, to a new
job
. Be sure to include the serial
Order Expediting
Section A: Product Order Form
Please select the digital product or service you wish to purchase. Be sure to indicate your printer model.
(ALL new kits include one digital signature or logo. To add more images, see “Additional Images.”)
Item Part Number Description Qty Unit Price
1 02-23080-001
2 02-23006-001
3 02-23016-001 Troy Signature/Logo Serial Bus Kit 3015
4 02-20478-001
5 02-20308-001
6 02-00340-001 Troy Signature/Logo 401* (Installing In: HP Printer, Troy Printer – Serial#_____________________)
7 02-00301-001 Troy Signature/Logo Kit 2015* (Installing In: HP Printer, Troy Printer – Serial#_____________________)
8 02-20580-001 Troy Signature/Logo Kit 2055* (Installing In: HP Printer, Troy Printer – Serial#_____________________)
9 02-00330-001 Troy MICR 401 Deluxe Imaging Kit **
10 02-00302-001 Troy MICR 2015 Deluxe Imaging Kit**
11 02-00310-001 Troy MICR 2055 Deluxe Imaging Kit**
12 93-19754-001 Digital Imaging Email (Please provide an email address on Section B)
Select Your Printer(s): 601, 602, 603
Select Your Printer(s): 3005, 4014, 4015, 4515
Select Your Printer(s): 2420, 2430, 4250, 4350, 9050
Select Your Printer(s):
1200, 1300, 1320, 2100, 2200, 2300, 4000, 4050, 4100, 4200,
4300, 8000, 8100, 8150, 9000, 617
$275.00
$275.00
$275.00
$275.00
$275.00
$275.00
$275.00
$275.00
$454.00
$454.00
$454.00
$275.00
(Use for making copies of new or existing kits. For copies of existing kits, include the serial and job number on section C, step# 6.)
Item Part Number Description Qty Unit Price
13 78-23079-001
14 78-23005-001
15 78-23017-001
16 78-20515-001
17 78-18989-001
18 78-00420-001 Duplicate Troy Signature/Logo 401
19 78-00302-001 Duplicate Troy Signature/Logo Kit 2015
20 78-00401-001 Duplicate Troy Signature/Logo Kit 2055
Item Part Number Description Qty Unit Price
21 93-16855-001 Additional Signature or Logo (Use for each additional signature when ordering a new kit.)
22 79
Item Part Number Description Unit Price
23 75 Expedite Fee (Reduces order processing time to 2 business days. Freight charges not included.) $250.00
* If ordering for a TROY Printer, please include the printer serial number.
Select Your Printer(s): 601, 602, 603
Select Your Printer(s): 3005, 4014, 4015, 4515
Select Your Printer(s): 2420, 2430, 4250, 4350, 9050
Select Your Printer(s):
1200, 1300, 1320, 2100, 2200, 2300, 4000, 4050, 4100, 4200,
4300, 8000, 8100, 8150, 9000, 617
and job number of the previous device on this form. See Section C, Step 5.)
$170.00
$170.00
$170.00
$170.00
$170.00
$170.00
$170.00
$170.00
$125.00
$50.00
** This kit provides the complete TROY MICR Font Set in addition to the image fonts for HP Printers.
Document #11-19295-001 Rev. R Page 2
Digital Imaging Order Form
Section B: Billing and Authorization Form
Billing Address
Company Name __________ _________________________________PO# ___________________________
Address ______________ ________________________City________________ State ______ ZIP___________
Attention _____ ________________________________________ Telephone __________________________
Shipping Address
Company Name __________ _________________________________PO# ___________________________
Address ______________ ________________________City________________ State ______ ZIP___________
Attention _____ ________________________________________ Telephone __________________________
E-Mail address____________ _________________________________
All orders will be shipped UPS ground unless otherwise specified. Please note your preference below:
SHIP VIA: _________________ _______________ FREIGHT ACCT# (Optional) __________________________
Signature Authorization (must be completed to process order)
(if different from billing address)
Authorizing Signature Date __________________
Authorizing Name (please print) _________ __ ____________________________________________
Title ______________________ ___________ Company ________ _________________ ___________
I hereby authorize the signatures(s) appearing on the TROY Signature Form (Section D), to be digitally imaged for use on digital
printing equipment. Attached are the actual signature(s) from Section D and any other original logo/graphic image(s) as
designated on the Logo/Graphic Mounting Form (Section x) to be digitized. The programmed image device(s) (CARD, DIMM, or
Serial Bus), including any additional programming information (when appropriate), will be delivered to an alternate address if
provided above.
Payment Information (If buying through a Reseller Net 30 credit account only notes Reseller and PO #)
Major credit cards accepted (Please circle one): VISA MASTERCARD AMERICAN EXPRESS
CC#_____________________ ________________EXP. Date: _________________ SEC CODE: _________
______________________________________ ____ ______ __________________________________
Cardholder’s Name (Please Print) Cardholder’s Signature
Billing Address of Credit Card ____________________________________________________________ __
Document #11-19295-001 Rev. R Page 3
Digital Imaging Order Form
Standard Format
Block
Format
C
an be printed separately
Cannot be printed separately
Job Number
Image Device Serial Number
Job Number
Image
Device Serial Number
Section C: Technical Information Form
1. Please indicate the name of the
PeopleSoft, Quadrant, SAP, Oracle, Other (Please specify): _________________________
2. Please list your
3. Please list a
4. Have you ordered digital image devices from TROY Group before? Y
If yes, please provide the S
USB or other). Do NOT use the printer serial number. The device serial and job number can be found on a label
attached directly to the device and on the "Digital Image Data Sheet" which was shipped with your current device.
5. Did you order any image transfers, or duplicates? YES, D
If yes, please provide the correct S
need to duplicate multiple jobs, you can provide additional job numbers in step 8. If you need to transfer certain
OPERATING SYSTEM
TECHNICAL CONTACT
SOFTWARE
: Windows 7/Vista/2008, Windows XP/2000, Other___________________
: Name _____ __________ Telephone ____ ____________
ERIAL
number or JOB number of your most recent TROY digital image device (DIMM, CARD,
you are using:
ES
NO (skip to step #6)
UPLICATES YES, IMAGE TRANSFERS
ERIAL
number or JOB number you wish to duplicate or transfer images from. If you
NO
images in exclusion to others, please indicate which images need transferred in step 8.
6. Format Selection (If your order contains multiple signatures, you must select from one of the following formats):
Note: Block formatting combines multiple images and does not allow each signature print separately.
7. Do you have a digital copy of your logo? (Skip if not applicable) Y
If yes, please email to Digitalimg@troygroup.com and include the name of your company in the subject line. If no,
please attach a black and white copy to this order form
8. Please provide any additional information or special instructions (e.g. additional job numbers, transfer details, etc.).
_____ _____________________________________________________________________
ES
NO
_____ _____________________________________________________________________
Document #11-19295-001 Rev. R Page 4
Digital Imaging Order Form
CORRECT
INCORRECT
SIGN ONLY WITHIN THE WHITE SPACE ABOVE
SIGN ONLY WITHIN THE WHITE SPACE ABOVE
SIGN ONLY WITHIN THE WHITE SPACE ABOVE
SIGN ONLY WITHIN THE WHITE SPACE ABOVE
SIGN ONLY WITHIN THE WHITE SPACE ABOVE
SIGN ONLY WITHIN THE WHITE SPACE ABOVE
Section D: Signature Form
Please use a separate signature sheet for each new signature.
•
Carefully review the examples shown below. Sign only within the white space of the signature block. If any portion of your
signature falls outside the white space, it cannot be used.
•
Clearly PRINT your full name in the space provided under your signature. Sign your name using a fine-point BLACK felt-tip or
ballpoint pen ONLY. Other ink colors do not scan clearly.
•
Please provide multiple signature samples of your signature.
•
Choose the best sample of your signature and place a checkmark in the space provided above the signature block. TROY
reserves the right to select the best sample of your signature if you do not indicate a choice.
•
For special requests or instructions, use the Technical Information Form (Section C)
Check here if this is the best sample of your signature. Check here if this is the best sample of your signature.
Clearly PRINT your full name in the space provided above
Check here if this is the best sample of your signature. Check here if this is the best sample of your signature.
Clearly PRINT your full name in the space provided above Clearly PRINT your full name in the space provided above
Clearly PRINT your full name in the space provided above
Document #11-19295-001 Rev. R Page 5
Digital Imaging Order Form
Address Labels
Cut out the following address label from this sheet and use it to ship your
Digital Imaging Packet to TROY Group, Inc.
Wheeling, WV 26003-6121
TROY Group Inc.
Three Bryan Drive
TROY Group, Inc.
Three Bryan Drive
Wheeling, WV 26003-6121
Document #11-19295-001 Rev. R Page 6
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