Create a Packing List
and Sellers Agreement

 
Enter your Email Address and your
Phone Number in case we have any
questions concerning the items you
send us. Enter your Drivers License
Number, State or County ID Number
for identification. Once you submit the
form print out a copy of the list and
include a copy of it with your shipment.
This gives us the information we need
to make your payment.

SEND US YOUR OLD GOLD,
SILVER, and PLATINUM TODAY.

 
 
First Name:
 
Last Name:
 
Address:
 
City:
 
State:
 
Zip Code:
 
Email Address:
 
CONFIRM Email Address:
 
Phone Number:
 
Drivers License Number or ID:
 
I am 18 or older, 19 in AL or NE, 21 in MS ENTER: YES
 
I agree to the terms and conditions. ENTER: YES
 
Esign ENTER: Your Name or Initials
 
Make a list of the items you are sending: