GLOBAL
Certification Services, Inc.
Company Name
Attention Dealer
#
Shipping Address: Shipping Instructions:
Name
Registered Mail
Address
Express Mail
City Fed-X
Acct #
State
Next
Day AM Next Day PM
Phone ()
Insurance
Limit $
Submission Service Desired:
(Note: Only One Type of Service per Invoice. Please Check
Desired Service)
Quality
Submission (all same issue with generic photos)
Individual Submissions
50-99 $12 each coin with "generic" photos
Bronze Level $25 each coin with custom photo (21) business days
100-499 $10 each coin with "generic" photos
Silver Level $45 each coin with custom photo (7) business
days
500
and up $8 each coin with "generic" photos
Gold
Level $75 each coin with custom photo (3)
business days
Service Choice
(Please Check
One)
Grading
Grading Review
Crossover
Custom Photographic Services Available - Please
Inquire for more information.
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Line |
Quan |
Date/MM |
Denom |
Country |
Variety |
Min Grade |
Value Each |
Total Value |
Global Only |
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1 |
1 |
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2 |
2 |
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3 |
3 |
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4 |
4 |
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5 |
5 |
Fee Calculation
Total Due Check #
Total Stated Value $
Coins @ $=
SPECIAL REQUESTS
PLEASE NOTE: This order will not be processed unless
payment is included
I have read the Terms and Procedures of of Global
Certification Services, Inc.
I understand and agree to these terms.
Authorized Signature_________________________Date