Lois Gold

Lois Jewellery LTD, 41 Frederick Street, Birmingham, West Midlands, B1 3HN

CUSTOMER CONTACT:

Your Full Name: Daytime Phone:
Your Address 1  Mobile No:
Your Address 2   E-mail address:
Postcode:   

Please tick if you would NOT like us to confirm the price by phone when we receive your metal.

Grams of 9ct Gold
Grams of 21ct Gold
Quantity of Full Sovereigns
Grams of 14ct Gold
Grams of 22ct Gold
Quantity of 1/2 Sovereigns
Grams of 15ct Gold
Grams of 22ct Gold
Quantity of 1/2 Krugerrands
Grams of 18ct Gold
Grams of 24ct Gold
Quantity of Full Krugerrand
Other Amounts
Grams of Silver
Quantity of Maples
Other Amounts
Grams of Platinum
Quantity of Other Coins

Total grams

Calculated Value (Enter the calculated value of your items)

 £ Guide price only
Wednesday February 22nd, 2012
Price Per Gram For 9ct = £13.00
 SCRAP CALCULATOR IS A GUIDE TO YOUR SCRAP GOLD ON THE DAY AND CAN CHANGE DAILY.
Description of items you are sending - optional Notes - information you would like to tell us

PAYMENT - Please tick one

Cheque Made payable to:
Cash £5 Charge for parcel to a value of £2500 & £10 thereafter.We do not post cash to PO box address.
BANK TRANSFER - (FPS) ACCOUNT HOLDER
  BANK NAME
ACCOUNT NUMBER
(8 digits required)
SORT CODE
- -
 I hereby certify that: -
I am over 18 years of age.
All Items enclosed are mine to sell and that all items are police safe.
I agree that all items sent will be tested by destructive and non destructive testing.
All gold/silver is subject to verification and payment will be based on the gold/silver price on the day of receipt, and the actual weight and fineness as verified by Lois Jewellery Ltd. We will not pass your details on to any third parties



SIGNED: .................................................. DATE: ..................................................  

STOP... Have you signed your form?

Please send your parcels by registered post. We can not be held responsible for any parcels that are missing or have been tampered with.