2013 JSA BGS subform-041116

[Pages:1]Ship Orders

beckett-

Beckett Media LLC

4635 McEwen Road Dallas, Texas 75244 Phone: 972-448-9188

This form to be used for autograph encapsulation

GRADING grading

SHIP TO: (No P.O. Boxes )

Name:

Address:

Please check one:

Residential

City:

Business

State: Phone:

Zip: Alt. Phone:

SHIP VIA:

Priority Overnight 2 Day Express Saver Ground My FedEx Account #

OFFICE USE ONLY

Invoice #: Job #: Date Rec'd: Rec'd By:

E-mail:

#

Important for customer notification

Signer

International Shipping Notes:

Authentication Fee

Baseball Encapsulate Encapsulate Encapsulate Declared

Encap

Only

+ Grade + Grade Autograph Value

(No Grades) Autograph + Grade Card

1

2

3

4

5

6

7

8

9

10

11

12

Use this column to determine return insurance

Total Items Listed

Total Authentication Fee

Total Declared Insured value

Authentication fees can be found at beckett- or by speaking to any BAS employee

CALCULATING AMOUNT DUE

1. Total # of cards for Encapsulation only service ____________________ X $10 each = $ ___________

2. Total # of cards for Encapsulation + Autograph grading _____________ X $20 each = $ ___________

3. Total # of cards for Encapsulation + Auto + Card grading ____________ X $20 each = $ ___________

4. Authentication Fee (Total Column)

= $ ___________

5. Baseball Encapsulation Fee

____________ X $30 each = $ ___________

6. Oversized Fee (See Chart)

= $ ___________

7. Add $12 for each magazine/program

= $ ___________

8. Additional Grading Fees (As Needed)

= $ ___________

9. Return Insurance (see table)

= $ ___________

10. Return Postage (see table)

= $ ___________

11 TX Residents add 8.25% sales tax

Total (1 through 11)

=$

Payment Options: ___Check/Money Order (Please DO NOT send cash)

All checks payable to Beckett ____ AMEX ____ Visa _____ MC _____Disc.

Card #:

Exp. Date:

CVC Code

Name:

Signature:

**All fees must be paid in advance before we can process your order. Incomplete or illegible submission forms will delay turnaround time. We reserve the right to correct your submission form to reflect our current authentication fees. All fees are applicable regardless of outcome of authentication/grading.

Signature

I HAVE READ AND AGREE TO THE TERMS AND CONDITIONS ON THE REVERSE SIDE.

Date Pink Copy - Customer

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