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Please fill out the form for each banknote separately and send it to me along with payment:
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PAPER MONEY APPRAISAL FORM (Please TYPE or PRINT*)

Your Full Name:

E-mail*:

Phone:

Fax:

Mailing Address*:



I wish to receive the appraisal via: Email (  )  Mail* (  )

* Please add extra $2 in USA and $5 abroad if you wish to receive your appraisal by mail.
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Catalogue number (if known):

Issuing Country Name:

Issuing Authority/Bank:

Value/Denomination*(example: 1, 5, 10, 50, 100, 1000 etc.):

Currency Name*(example: dollar, peso etc.):

Date of Issue* (if any):

Size of the Banknote*:

Grade/Condition* (learn how to grade):

Colour(s) of the Banknote*:

Watermark*:

Serial numbers* (if any):

Photo link*: http://

Additional Description:
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If you are not sending an original note(s) then please describe condition
of your note(s) in very detailed manner: pinholes, holes, tears, washing,
pressing, stains, center-hole, security strip, watermarks and everything else
that I may not be able to see on a xerox copy or an online photo. The more
detailed and precise is description of a condition of your note(s) the more
accurate will be my appraisal results. I appraise from whatever you send me.
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Will you sell the item(s)?*:  YES  (  )   NO  (  )

Photo*: a clear xerox copy of both sides of each banknote is mandatory to enclose.
Alternatively you can provide us with a link to the images of your appraisable banknotes.
Here's some help on where to store your images:
1. Scan (you need a scanner) or have your image ready to post; 
2. Go to: http://www.imageshack.us/ or http://photobucket.com or other image host; 
3. Write the provided image(s) link(s) in this form or send by email to us.

Notice: Please do not email us any attachments.

Payment amount submitted* (US$ or equivalent in any world currency):

Your Signature & Date:
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If you need more space please use a separate sheet of paper or add more to your email.

* Mandatory field