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Jewelry
Medical
Dental
Accumulators
Industrial
Research/
Development

FROM

Customer:
Contact:
Address:
     Phone:
Fax E-mail:
 

 

To the Attention of:

Special Instructions:

First Time Customer: Yes/ No
Date Shipped:

 

 

MATERIAL INFO

Type of Material Shipped:

 

 

Assay for:
Gold and Silver
Platinum/Palladium
Iridium/Ruthenium
Rhodium
Shipping Weights:
  Item 1 Item 2 Item 3 Item 4
Item:
Gross:
Tare:
Net:

Grams | Pennyweights | Troy Oz. | Lbs.

Stone Removal: Yes / No                              Confirm Weights: Yes / No

 

DELIVERY

Settlement Options:
Check
Metals Returned
Transfer to Fabricator
Special Instructions:
  

 

Would you like an empty container shipped to you? Yes / No
If yes, please specify:
Size:        
Quantity:


 

                 

 

Home | About Us | Guide To Processing | Settlement Options | Pick Ups | Contact Us
Jewelry | Medical | Dental | Accumulators | Industrial | Research/Development