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To place an order, simply Print This Page and fill out the order form below and mail it to the address on the form together with a check or money order. Or if you prefer, use your own stationary, providing the information requested below. Or you may use our Online Order Form if you prefer to type in your order online, and then print it out.  Either way, there is no need to confirm your order, as we have many multiples of all items in stock. On bullion related items, such as quantities of gold or silver coins valued at $2,500 or more, please add $45 to help with added insurance, and $45 per $5,000 thereafter. This is less than 1%, and helps us keep our prices low while keeping your purchases 100% secure and insured against any form of loss or damage. To view our Privacy Plicy, please visit www.collectorsinternet.com/privacy.php

Order Form

Please Print Date

7190 Sunset Blvd. #183
Los Angeles, CA 90046
www.collectorsinternet.com

Name:
Address:
 
Email:
Quantity Date, Grade or Description of Item Price Each Total Price
       
       
       
       
       
       
       
       
       
       
       
 In the rare event of some sold-out items, please list 2nd choices below or attach additional stationery.    
       
       
       

Special Back Order Services: We have access to over $50 million worth of coins through our network of clients and other reliable sources. We will notify you immediately if an item is sold out and get it within 30 days or refund your money with a free $10 gift certificate for giving us the opportunity to serve you better. Would you like to use this service? Yes  No

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Discounts  
Down Payments  

Want List

Subtotal  
Please list below items needed for your collection. We will promptly advise you of availability, price, condition, etc.
No merchandise will be sent without your permission. Thank You.
CA Residents add 9.75% if under $1000  
Date Denomination and Description Grade Desired Price Range Postage & Handling  
        Add $1 per roll or set:  
        TOTAL
        Notes and Instructions