7510 Sunset Blvd., #183, Los Angeles, CA  90046

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ONLINE ORDER FORM

Please print this page for your reference. On bullion related items, such as quantities of gold or silver coins valued at $2,500 or more, please add $45 to help with added insurance, and $45 per $5,000 thereafter.

This is less than 1%, and helps us keep our prices low while keeping your purchases 100% secured and insure against any form of loss or damage.

CollectorsInternet accepts credit cards and debit cards

as the first rare coin wholesaler to partner with

What is Google Checkout?

*By using Google Checkout, we do not have access to your credit card numbers and the transaction will be 100% secured through Google's secure server.
It's the fastest, most secure way to buy online.

 

If you wish to pay by credit cards, we will email you a request for payment through Google Checkout.
Once you receive the invoice, please follow the link provided in the email, and sign in to Google Checkout to confirm payment and shipping details.

 

To ensure our email delivery to your inbox, please add noreply@checkout.google.com and webmaster@collectorsinernet.com to your Address Book.

EASY ORDER FORM

No need to confirm your order, as we have many multiples of all items in stock.  Simply fill out this form and print it, or if you prefer to have a hardcopy form, use your own stationary or print out our form HERE

Full Name

*

Email:

 

Address:

*

Ordering Date:

*

City:

*

State:

*

Zip Code:

*

Country:

 

Quantity

Date

Denomination and Description

Grade

Price Each

Total

 

 * How do you want to pay?

Credit Card using Google Checkout

Checks or Money Orders

Bank Wire Transfer

Subtotal

Discounts

Down Payments

Subtotal

CA Residents

add 8.25% if under $1000

$9.00 Minimum postage/ insurance within United States. Plus $1 for each roll, set or group of 100 coins. Foreign countries add 5%

Postage & Insurance

TOTAL

Want List Please list below items needed for your collection. We will promptly advise you of availability, price, condition, etc. No merchandise will be sent without your permission. Thank You.

Date

Denomination and Description

Grade Desired

Price Range

Notes and Instructions

* Required Fields