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ICG SUBMISSION FORM

Independent Coin Graders - PO Box 276000 - Tampa, FL 33688
 
Return To: 
*Phone:  Cust#:  
 
*Address:
*City:  *State:  *Zip: 
 
E-mail:
(e-mail is how we'll update you on your order status & special offers from ICG)
Return Shipping Options:
 
* Required Information Section
UPS (Standard Ground)$24
Registered Mail (USPS)*$24+
Other  
 
* Additional charges may apply, please call us
Items Included in this Order
Qty Coin Date Mint-Mark Denomination Country Est. Value MS or PR Variety / Attribution Minimum Grade
1 $
2 $
3 $
4 $
5 $
6 $
7 $
8 $
9 $
10 $
11 $
12 $
13 $
14 $
15 $
16 $
17 $
18 $
19 $
20 $
 
Payment Calculations
 
X=
# coinsTier Price
X=
# coinsVerify Att.
X=
# coinsResearch Att.
 
Shipping & Handling =
Total =
Visa MC AMEX Discover
 
Check #
 
                                                                                            
Card Number Exp. Date
Note: After you finalize this form, you will be given the option to print. Once you Print, you can write in your credit card information then Mail to us.
Please call ICG if you have any additional Questions.

 

 
Please Select Tier of Service
 
1 Day
      (all coins valued at more than $10,000)		$90
5 Day
      (all coins valued between $5,001 & $10,000)		$25
10 Day
      (all coins valued between $501 & $5,000)		$19
Economy
      (all coins valued at $500 or less)		$12
2 Day Dollar Deal
      (US COINS ONLY valued at $1,000 or less)		$12
5 Day US Gold Special
      (US COINS ONLY valued at $2,500 or less)		$19
ReHolder
      (Fee for damaged holder)		$5
Other
** ICG will charge full tier price even if coin(s) does not crossover.
 
Type of Service
 
Grading Crossover Quality Control