Precious metal Refining form
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Pre-paid shipping label will be sent to this email
Phone Number
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Date
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Address
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What material(s) Will you be sending in?(check box if applicable)
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Rows
Sending
Description
Gold Filled Material
Mixed Gold Scrap
Rings
Necklaces/Bracelets
Charms/Pendants
Earrings
Filings
Sweeps
Gold Bullion
Gold Coins
Sterling Silver
Mix Alloy Silver
Silver Bullion
Silver Coins
Platinum
Platinum Bullion
Palladium
Palladium Bullion
I hereby agree to the complete Terms and Conditions as found at ExoticElementsRefining.com. I declare I am at least 18 years of age, I am the lawful owner of the enclosed items with absolute authority to sell them, and my government issued personal identification number that i have included above and all other identifying information contained herein is true and correct. I declare under penalty of perjury that the foregoing is true and correct.
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Referal code?
get up too $50 added to your payout
Payment
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PayPal email (If Applicable)
ACH Routing number
Routing #
ACH Bank Account Number
Account #
(If Applicable)
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