Customer grading form

PokeBox Australia Pty Ltd

PO BOX 587, Pascoe Vale VIC 3044

info@pokebox.com.au

www.pokebox.com.au

0426 500 353
SELL US YOUR COLLECTION - FIll out the form for an offer
Customer Details:
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
How did you hear about us?*

COLLECTION DETAILS
Selling Bulk? Please enter details below:

Example Submission, all fields must be completed.

Example Single/Loose Cards

Language	Set Name	Card Name/Type of Product	Card Number/Serial Number & Grade (Graded Only)
English	Pokemon 151	Charizard ex	199/165

Example Graded Card

Language	Set Name	Card Name/Type of Product	Card Number/Serial Number & Grade (Graded Only)
English	Pokemon 151	Charizard ex	199/165 - "insert serial number" PSA 10

Example Sealed Items

Language	Set Name	Card Name/Type of Product	Card Number/Serial Number & Grade (Graded Only)
English	Pokemon 151	Elite Trainer Box

Product Details
Please Upload images of the items you are selling. The better the photo the more informed we will be in making an offer. IF NO PHOTO IS ATTACHED WE WILL NOT MAKE AN OFFER ON YOUR ITEMS*

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ID UPLOAD - Please upload a copy of your ID*

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Payment Method*
Should be Empty: