You may find it helpful to print this form and enclose it with your scrap for sale. Just leave blanks where you are not sure, or add comments and instructions anywhere on this form, it is purely provided for your convenience. Our address is shown at the foot of this and every page. When sending goods to us we require that you send them with a cheque for £10, if you accept our offer we will return your £10 cheque along with a cheque for your coins. If you decline our offer we will use the £10 cheque to cover our costs and the cost of insured return postage.
| Weight | Item Description | Price Per Gram | Amount £ |
| Total | £ | ||
| The above prices have been agreed / indicated / Please telephone me with an offer to buy. (Delete as appropriate) | |||
Seller Details:-
| Name | |
| Street Address | |
| Town / City | County |
| Country - UK / Other | Postcode |
| E-mail address | Telephone (useful incase of any queries regarding your order). |
| For payment by bank transfer please fill in your details | Account number |
| Sort Code | Bank Name and address |
| If you prefer to be paid by cheque please print your full name | |