BECKETT GRADING SERVICES SUBMISSION FORM
BECKETT GRADING SERVICES SUBMISSION FORM
Send to : Grosnor Distribution lnc.
4 Lowry Drive Brampton, Ontario L7A 1C4
Date: Name:
Account #: Submission #:
Full Name: Address: City: Province: Phone: E-mail:
Customer Information:
Postal code:
Job No.:
BGS Use Only:
Date Received:
Received by:
Veri ed:
#
Sport BB, BK, Qty.
Year
etc.
SET NAME
(please use Beckett Price Guide terminology)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Total Qty.
For additional cards, use another form
CARD #
Auto
CARD/PLAYER NAME
Y/N (please use Beckett Price Guide terminology)
OWNER'S DECLARED
VALUE
CDN Total Insured Value
____ DAYS SERVICE $____ CDN + TAXES PER CARD + INSURANCE
Insurance: Insurance cost applies to all carriers and is based upon the declared value of the package.
Declared Value
$1-$1000 $1001-$2000 $2001-$3000
Fee
$10.00 CDN $15.00 CDN $20.00 CDN
Add $5.00 CDN for each additional $1000 in declared value (or portion thereof).
Calculating $ to be paid to GDI
1. Total # of cards submitted $
2. Grading Fees
$
3. SUBTOTAL
$
4. Auto ($2.00)
$
5. Shipping
$
6. Insurance
$
7. SUBTOTAL #2
$
8. Add Taxes
$
Taxes
5% BC, AB, SK, MB, PQ, PEI, NWT, YK, NU 13% NB, ON, NFL 15% NS
20+ Cards: $1 off per card
40+ Cards: $2 off per card
75+ Cards: $3 off per card
Shipping
$15.00 Flat Rate
Credit Card Info Exp: ___/___ CVC#: ____
White copy - BGS
GRAND TOTAL $
Customer Signature
Yellow copy - BGS Pink copy - Customer Green copy - GDI
GROSOI
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