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Sender Details
Company Name
*
Contact Name
*
Date Shipped
*
Email
*
Phone
*
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*
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*
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*
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First time customer?
*
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Weights
Units of Measure
troy oz.
lbs.
dwt
grams
Products
Description and Packaging
Gross
Tare
Net
1
1
Add Product
Diamond Recovery?
Yes
No
Assay for (check all that apply)
Gold
Silver
Platinum
Palladium
Rhodium
Iridium
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Other
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Settlement Options
Check
Wire ($25 fee)
Bullion or Grain returned
ACH
Hold in Pool Account
Transfer to Fabricator
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Would you like an empty container shipped back to you?
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