PokeBox Australia Pty Ltd
PO BOX 587, Pascoe Vale VIC 3044
info@pokebox.com.au
www.pokebox.com.au
0426 500 353
PSA Customer grading form
Customer Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: 0400-000-000.
E-mail
*
example@example.com
How did you hear about us?
*
Please Select
Referral
Google
Instagram/FaceBook
Back
Next
SUBMISSION DETAILS
Submission Level
*
Please Select
Value $60 per card MAX $500 USD Declared Value per card
Regular $185 per card MAX $1,500 USD Declared Value per card
Express $330 per card MAX $2,500 USD Declared Value per Card
Custom Quote - Declared Value more $2,500 USD
Example Submission, all fields must be completed.
Language
Year
Set Name
Card Name
Card Number
USD Amount
English
2023
Pokemon 151
Charizard ex
199/165
$200
Rows
Language
Year
Set Name
Card Name
Card Number
USD Amount
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Would you like the PokeBox Australia Grading Team to prepare & clean your cards prior to submission? We are not responsible for any changes in the condition of your card, unless it has improved ;)
*
YES
NO
Submit
Should be Empty: