Order Form
2016 Tax Year

Acceptable payment methods are check, credit card, money order or COD.  All orders physically shipped incur a $5 shipping and
and handling charge and are shipped First Class mail.  If you download from our website, there is no shipping or handling charge.
 If you require overnight shipment, you  may either use your own account number with an overnight carrier, or we will ship Federal
Express ($28 morning delivery, $24 afternoon delivery) or USPS Express Mail ($18 morning delivery).  For Priority mail, add $5.50 in
addition to the regular $5 shipping and handling charge.

 

Ship To Information

Name:

 

Address:

 

 

 

City/State/Zip:

 

Phone:

 

Email:

 

 

Items:

First Yr.

Upgrade

The W-2/1099 Filer for Windows 2016 (basic system / required on all orders)

 $109

$79

Laser engine* includes forms W-2, 1099-MISC, 1099-INT, 1099-DIV, 1099-R, 1099-S, 1099-B, 1099-C, W-2C, 1098 and W-9.)

40

40

Other Laser forms available for laser engine:

   

Forms 940 /  941 /  943 bundle

10

10

Forms 1099-A, 1099-G, 1099-PATR, 1099-OID, 1098-T, 1098-E, 1098-C, W-2G, 1099-CAP, 1099-K, 3921, 3922, 1042-S, 5498

10 each

10 each

1095/94 ACA module

100

100

After-the-Fact Payroll Reporter

50

0

QuickBooks Import Facility

35

35

Universal Import Facility

25

25

Other:

USB Thumb Drive surcharge  (only select this if you do not have a CD drive or are unable to download.  We will send you the program on a USB Thumb drive which you get to keep.)

15

15

 

 

Subtotal:

Shipping/handling:

Shipping:

1st class mail ($5)

Priority Mail ($9.95)

Download (no charge)

FedEx (see above)

USPS Express (see above)

Other

If using your own overnight account:

Carrier:

Acct #:

Subtotal:

 

Sales tax: (NEW YORK only)  Indicate county:

 

 

 

 

 

Total:

 

Method of Payment:

Card #/ Chk #:

(Select) Check / MC / VISA / AMEX / DISC

Expires:

 

 

 

 

*  The engine allows you to print the State, File and Recipient copies onto  blank paper automatically collated, which saves on the purchase of preprinted
 forms and reduces the number of paper tray changes.  The Federal copy for 1099s must still be printed on the red ink preprinted form unless that payor
 is filed electronically.  The recipient copy is printed on blank perforated paper.


Return to:

EG Systems, Inc.

Voice:

(800) 264-3155

3334 Long Beach Road, Suite 160

Fax:

(646) 349-3805

Oceanside, NY  11572

Email:

sales @ w21099.com