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Certification of Inventory Destruction (Instructions)

  • Enter your organization's name and address. (Note: If the cheques you are destroying were originally sent under various account numbers, list Cheques on separate sheets with the respective account number and address on each certificate).
  • Enter your Corporate Gift Cheque account number and address. Enter the denomination (value) of the gift cheque. (Note: If cheques are in sequential order, you can list the series on one line. It is important to ensure the cheques are in sequential order). FROM: Enter the cheque number of the first gift cheque in the series. TO: Enter the last four digits of the last gift cheque in the series.
  • QUANTITY OF CHEQUES: Enter the number of cheques in the series listed.
  • VALUE: Enter the value of all the cheques in the series listed.
  • Indicate the reason for destruction of the gift cheques.
  • Indicate the method you are using to destroy the cheques (cremation is preferred). Note: If gift cheques are presented for payment, account will be liable for payment.
  • Provide the name, title and signature of two (2) officers. Each officer must sign each certificate attesting that the cheques have been destroyed.
  • After completion please mail this form to the address above or fax to 801-945-5748.

Certification of Inventory Destruction Form

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