Complete the form to sell your scrap gold, silver or platinum
 
Complete the following form to begin the process of sending your gold to Lois Jewellery Ltd
Please print it out and enclose it in your package.
Your Full Name (Required for cheques payable)
 
Your Address (Tell us where to send your money)
Postcode
Telephone Number
(Daytime number available between 9am to 5pm)
 
Mobile Number
(Daytime number available between 9am to 5pm)
 
Your Email Address (e.g. you@hotmail.com)
 

Enter grams of metal if known

 9ct Grams
Other Amounts
 
14ct Grams
Full Sovereign
Quantity
18ct Grams 1/2 Sovereign Quantity
22ct   Grams 1/2 Krugerrand Quantity
Silver Grams Full Krugerrand Quantity
Platinum Grams Other Coins Quantity
 
Total grams
 
Calculated Value
(Enter the calculated value of your items)
 
Use our free gold calculator
£
Guide price only
OUR 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
View our Frequently ask question page
Tuesday March 09, 2010  Price Per Gram 9ct = £8.60
PLEASE TICK IF YOU WOULD LIKE US TO CONFIRM THE PRICE BY PHONE WHEN WE RECEIVE YOUR METAL.
PLEASE NOTE THAT WE WILL CONTACT YOU IF THE PRICE AS CHANGED CONSIDERABLY.
 
Required Payment Method (Tick 1 option and complete details below)
Cheque   Made payable to:
Cash We don't post cash to PO Box addresses
Cash Amounts Below £1000
For cash amounts under £1000 we charge £5.00 for postage & Packaging. Cash amounts over £1000 are free
Faster Payment System
Free service same day payment
Please click for information

Bank Details

Acc Holder:
Bank Name:
Bank Transfer Only available for amounts over £3000 Acc No:
Sort Code: --
I hereby certify that: -
I am over 18 years of age.
All items enclosed is mine to sell and that all items are police safe. 
I agree that all items sent in 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 fix price on the day of receipt, and the actual weight and fineness as verified by Lois Jewellery Ltd.
Signed______________________________ Print______________________________ Date_____/______/2010
Don't have a printer or can't print click here
Please remember to sign this form after printing.
Sent your Completed Signed form with your scrap metals to
Lois Jewellery Ltd
41-42 Frederick Street
Hockley
Birmingham
B1 3HN
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