Store Name *

Store address *

City *

State *

Zip *

Store Email *

Store Phone Number *

offer will be emailed to the store within 2 business days

Employee Name *

Customer Name *

Customer Phone Number *

Customer Email Address

Customer would like to receive information regarding upcoming events.

What items are you looking for an offer on *

Fine Jewelry
Diamonds
Watches
Sterling Silver (Flatware & Holloware)
Gold / Scrap
Coins / Bullion
Various Items
Other

How would you describe these items *

If the items are a precious metal - what is the type and purity (ex: 14K Gold).

What is the weight of this item (dwt) *

If the items are a precious metal - what is the type and purity (ex: 14K Gold).

Upload a photo of the front of your item *

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG.

temp-for-115099-file2-3_

Upload a photo of the drivers license *

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG.

temp-for-115099-file2-2_

In consideration of the item(s) and price(s) documented on the National Rarities Bill of Sale, I agree to sell and transfer all right, title and interest to National Rarities, LLC. I hereby represent and warrant that 1) I am over eighteen (18) years of age, 2) I am the rightful owner of, or am entitled to sell the above documented valuables, 3) the valuables I am selling are free and clear of all liens and encumbrances, and 4) I am legally entitled to freely sell or otherwise transfer the values at my sole discretion. I agree that this sale is final and I am aware that these articles may be sold, recycled and/or redistributed at a profit.

Signature *

Clear

*Please remind the customer that a check will be sent to their store

Thank You

The form was submitted successfully.

Thank You

The form was submitted successfully.

Your Order

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