SEND ALL CARDS TO: SGC USE ONLY INVOICE NUMBER

YOUR NAME:

SEND ALL CARDS TO:

SGC Submission Center 951 Yamato Rd. Suite 110 ? Boca Raton, FL 33431

? TF: 800.SGC.9212

EMAIL:

SGC USE ONLY

DATE

RECEIVED BY

LOCATION

GOLD CLUB #: (IF MEMBER)

TIME

INVOICE NUMBER

CUSTOMER NUMBER:

SHIP TO:

NAME ADDRESS CITY PHONE #

STATE

Check box if this is a new

ZIP

HOW TO SHIP: (choose your preferred method)

Postal Delivery *see shipping chart on front page

FedEx Delivery (See chart)

USE MY FEDEX ACCOUNT #:

* P rices include signature confirmation. See attached FedEx Shipping worksheet.

Ground 2-Day Standard Overnight Priority Overnight First Overnight

GRADING SERVICE: Please visit our website at to see the most current pricing and turnaround times.

Service Standard Express Priority

Next Day

Same Day Walk Through Immediate Premium

Super Premium

Oversized Crossover (Tier Fee) Review (Tier Fee)

Reholder Special

Check here if you would like SGC to encapsulate any trimmed or color-enhanced card (that is authentic) with the "A" designation.

* Any card requiring custom insert must be submitted at the $15 level or higher. * SGC reserves the right to adjust the amount due if errors are detected in calculations, insurance values or shipping costs.

For Card Grading only - No Autographed Items (Except licensed pack pulled autographs, post 2000)

ITEM #

QTY

1

YEAR

MANUFACTURER

PLAYER NAME

CARD # OR DESIGNATION

VARIATION OR COMMENTS i.e. Rookie, Minimum Grade, etc.

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

DECLARED VALUE (per card)

X (Sign to Agree to Terms and Conditions)

QUESTIONS?

NEED MORE SUBMISSION FORMS?

Call SGC at

800-SGC-9212

OR

561-672-7495

Or visit our website at

CALCULATING AMOUNT TO BE PAID TO SGC:

1. Total # of cards:

x Grading Tier Fee of $

= $

2. Return Shipping total (calculate using worksheets on page 1) $

If a shipping method is not selected, SGC will select the appropriate shipping method.

TOTAL $

X (Authorized Signature for Merchandise Pick-Up)

TOTAL INSURED VALUE: $

PREFERRED FORM OF PAYMENT

Please bill my: Visa MasterCard AmEx Discover

CREDIT CARD # CARDHOLDER NAME

SIGNATURE

EXP. DATE

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