STEP 1 – PROVIDE YOUR CURRENT ADDRESS AND …

PLEASE KEEP A COPY OF THIS COMPLETED SUBMISSION FORM FOR YOUR RECORDS. STEP 1 PROVIDE YOUR CURRENT ADDRESS AND COMPLETE CONTACT INFORMATION Billing Information Shipping Information (only if different from Billing information)Name: Name: ADDRESS : ADDRESS : ADDRESS Line 2 (Apt., Ste. #): ADDRESS Line 2 (Apt., Ste. #): City:State: Zip/Postal Code: Country:City:State: Zip/Postal Code: Country:Contact InformationShipping ADDRESS Is: Telephone: Email ADDRESS : eBay ID (optional): (Circle one below) Home Business STEP 2 DETERMINE WHICH SERVICE TIER(S) YOU WISH TO SUBMIT YOUR ITEMS UNDER Service tiers refer to the turnaround times* for the grading and casing process at any CGA division.

Optional Signature Confirmation* Required if value > $500 ($4.50 per box.) + OR ADD LINES FOR TOTAL AMOUNT DUE: = Bill Return Shipping to your FedEx or UPS account for all customers (domestic or international) NOTE: a $7.50 per box materials/handling fee will be charged. IMPORTANT: Credit Card information or payment by check, money order, or

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