JERRY'S ACGSTM or PCGSSM COIN GRADING SERVICE SUBMISSION FORM
MAIL YOUR AMERICAN OR CANADIAN COINS INSURED TO:
Jerry's P. S., Inc.
P. O. Box 554, Bridgeport, Michigan 48722-0554
REMEMBER: NEVER CLEAN YOUR COINS! THAT LOWERS THE VALUE!
Minimum submission to ACGSTM or PCGSSM is 5 coins please! Print out this form to submit your coins.
IMPORTANT! CHECK 1 ONLY: I want ACGSTM labels - I want PCGSSM labels
Quantity
Date/Mint
Denomination
Variety
Grade Expected
Insured Value
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Total Value>
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FEE CALCULATION
______ coins x $15.00 per coin = $_____________
(If your total value is $5000 or less.) Includes return postage and Insurance.
Please add 1% of total value over $5000 for added insurance. Sample: A total value of $7000 would cost $14 per coin + 1% of $2000 (value over $5000) for an additional cost of $20.00.
$___________ over $5000 x 1% = $__________
Total enclosed: $_________________
(Includes postage, packaging and insurance)
(send check or money order with submission)
Please allow approximately 21 days for return.
SUBMITTER INFORMATION
NAME: _____________________________________
ADDRESS: __________________________________
CITY: ______________________________________
STATE, ZIP: _________________________________
PHONE: ____________________________________
EMAIL: _____________________________________
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Copyright 1999-2008 - Jerry's P. S., Inc., P. O. Box 554, Bridgeport, MI 48722-0554
We are not affiliated with Professional Coin Grading Service.