Banknotes.com - Appraisal Order Form

Banknotes.com

Full Name:*

Please enter your first name and your last name (surname) above

Your Email Address:*

Telephone:*

Fax:

Your Mailing Address:

City:

State/Province:

Postal/Zip Code:

Country:

Catalogue number (if known):

Name of the Issuing Country:

Name of the Issuing Authority or Bank:

Denomination (example: 1, 5, 10, 50, 100, 1000 etc.):*

Currency Name (example: dollar, peso etc.):

Date of Issue (if any):

Size of the Banknote:*

Measure in milimeters

Grade/Condition of the Banknote (example: VG, VF. AU. UNC etc.):*

Check out our Banknote Grading page for help

Colour(s) of the Banknote:*

Watermark:*

Please state presence or absence of a watermark and what type of watermark

Serial numbers (if any):*

Coloured high quality photo:*

Provide a link (URL http://www....) to a high quality scan or photo

Additional Description: If you are not mailing in original banknote(s) then please describe condition of your banknote(s) in a very detailed manner: (state presence or absence of) pinholes, holes, tears, washing, pressing, stains, center-hole, security strip, etc. that we may not able to see on a xerox copy or an online photo. The more detailed and precise is description of a condition of your banknote(s) the more accurate will be our appraisal.*

0/10000

Will you sell the item(s)?:*

Write: YES or NO.

I wish to receive the appraisal via:*

Email ($10)Postal mail ($15)After submitting this form please send your payment ($10 or $15) via Paypal to: admin@banknotes.com

Date*

YearMonthDay

My Products

Appraisal of One Banknote via Email$10.00

Appraisal of One Banknote Sent by Postal Mail$15.00