WHITEHOUSE OHIO firstname.lastname@example.org
We Do Not Ship To Post Office Boxes Name:__________________________ Address:________________________ City:_____________ ST:___ ZIP:_____ Phone (Home):__________________ Phone (Cell):____________________ Phone (Business):_______________ Phone (FAX):_____________________ Email Address:___________________
Anyone may submit cards (to be graded) via this service. You are not required to join a club or go through a dealer. You must submit at least five cards via this service direct to GMC. List below each card to be graded. Please print this form as many times as needed. Keep a copy for your records.
Pick your service. Service types can be viewed on the Home Page
(DG) Detailed Grading Service: $2.99 Per Card (5 Card Minimum) $__________
(GS) General Grading Service: $1.99 Per Card (5 Card Minimum) $__________
(PO) Protection Only Service: $.99 Per Card (5 Card Minimum) $__________
(CC) Card Capsule Empty: 1 Top,1 Bottom $1 Per Set (5 Set Minimum) $__________
NO RETURNS ON EMPTY CARD CAPSULES, THEY DO NOT SNAP CLOSED, YOU ARE RESPONSIBLE FOR SEALING!
Autographed Authenticated Cards - All Services: $1 Additional Per Card $__________
Autographed Un-Authenticated Cards "Protection Only Service" $1 Additional Per Card $__________
(DG,GS,PO) Services Include Encapsulation
Insurance (.60 cents per $100 of value) Example $300 in card value = $1.80 $__________
UPS Ground Shipping (USA) For 1-10 Cards / Capsules $ 10.00
Additional Shipping For Each Card/Capsule, Over 10 Cards is .50 Cents Per Card $__________
Total Charges $__________
Forms of Payment Accepted: MasterCard, Visa, Money Order or Check
I HAVE READ AND AGREE TO THE GRADE MY CARDS TERMS AND PROCEDURES
Cards Will Not Be Graded Without Payment In Full. Payment Must Accompany This Invoice And The
Cards You Are Submitting. We Do Not Accept Shipping Account Numbers, Shipping Charges Are Non-Negotiable.
If Using A Credit Card, Your Statement Will Show Charge From GT LTD.
City ____________________________________ State ____ ZIP __________
Credit Card # _____________________________________________________ Expires ____________ CCV # _________
I hereby authorize GMC to charge my credit card number in the amount shown. I understand that GMC is only rendering an opinion and accepts no liability for value of any card. GMC is not liable for damage while the cards are in shipment. Your cardholders are not returned. GMC reserves the right to reject any card for any reason. GT LTD will appear on your credit card statement.