First Name

Last Name

Email Address

Phone Number

Street Address

City, State, Zip

How Do You Prefer to Be Contacted? How Do You Prefer to Be Contacted? Email Voice Text

Title of Book and Issue Number

Service Tier Requested Service Tier Requested *Tier I ($15) - Fair Market Value Book From $1 – $300Tier II ($20) - Fair Market Value Book From $301 – $600Tier III ($25) - Fair Market Value Book From $601 – $1000Tier IV ($50) - Fair Market Value Book More Than $1000Pressing Only ($10) - Any Era Book

Additional Book Additional Book Add Another Book

Title of Book and Issue Number

Service Tier Requested Service Tier RequestedTier I ($15) - Fair Market Value Book From $1 – $300Tier II ($20) - Fair Market Value Book From $301 – $600Tier III ($25) - Fair Market Value Book From $601 – $1000Tier IV ($50) - Fair Market Value Book More Than $1000Pressing Only ($10) - Any Era Book

Additional Book Additional Book Add Another Book

Title of Book and Issue Number

Service Tier Requested Service Tier RequestedTier I ($15) - Fair Market Value Book From $1 – $300Tier II ($20) - Fair Market Value Book From $301 – $600Tier III ($25) - Fair Market Value Book From $601 – $1000Tier IV ($50) - Fair Market Value Book More Than $1000Pressing Only ($10) - Any Era Book

Additional Book Additional Book Add Another Book

Title of Book and Issue Number

Service Tier Requested Service Tier RequestedTier I ($15) - Fair Market Value Book From $1 – $300Tier II ($20) - Fair Market Value Book From $301 – $600Tier III ($25) - Fair Market Value Book From $601 – $1000Tier IV ($50) - Fair Market Value Book More Than $1000Pressing Only ($10) - Any Era Book

Additional Book Additional Book Add Another Book

Title of Book and Issue Number

Service Tier Requested Service Tier RequestedTier I ($15) - Fair Market Value Book From $1 – $300Tier II ($20) - Fair Market Value Book From $301 – $600Tier III ($25) - Fair Market Value Book From $601 – $1000Tier IV ($50) - Fair Market Value Book More Than $1000Pressing Only ($10) - Any Era Book

Payment Method Payment Method Cash or Check Pay online with Paypal Pay with Venmo

Paypal Email Address If paying with PayPal please enter your PayPal email address so that we can send you the invoice

Venmo Username If paying with Venmo please enter your Venmo username so that we can send you the invoice

How will you deliver your book(s) to us? How will you deliver your book(s) to us? I will deliver my book(s) in person I will mail my book(s) to you

Would you like us to evaluate your book(s) and provide you with a final cost before starting? Would you like us to evaluate your book(s) and provide you with a final cost before starting? Yes No

Submit to CGC when complete? Submit to CGC when complete? Yes No Maybe

Please let us know any additional information or special instructions regarding your book(s)