Arnold Jewelers

Gold Item List & Payment Options Form

Please print, complete and sign this form. Place it in with your gold items before shipping.

First name: ________________________    Last name: ________________________
Address: ______________________________________   Apt/unit #: _____________
City: _____________________________________   State: _____   Zip: ___________
Day phone: ______ - ______ - ________  Cell phone: ______ - _______ - _________
Email address: _____________________________
Additional instructions: ____________________________________________________

How do you wish to receive payment?

Please indicate your payment choice below by placing a checkmark in the left column.

Selection:	Payment type:	What we will require:
	Company check	Your full name
	Overnight check	Sales of $2500.00 or more
	Wire transfer	Sales of $2500.00 or more /call with wiring instructions.

Please list each item you are selling: (ie. 1 earring, 1 broken necklace). Although this is not required, it does help us avoid misunderstandings, and maintain good quality control.

Item 1:	Item 6:
Item 2:	Item 7:
Item 3:	Item 8:
Item 4:	Item 9:
Item 5:	Item 10:

I, the undersigned, hereby state that I am currently a resident of the United States and at least 18 years of age. I am the owner of the item(s) that I am selling, and fully authorized to sell said property. I understand the terms and conditions of this sale.

Signature of seller: ___________________________   Date: ___________

Please insert this form, along with a copy of a valid ID, into package before sealing it.

Mail your package to:   Arnold's  12293 Seminole Blvd.  Largo, Florida  33778

Shipping Note: You may ship your gold order to us by any method or carrier you wish.  We will credit your order up to $15.00 per customer to help with shipping and insurance.  Incoming shipping charges exceeding $15.00 are the responsibility of the seller. Details >>

Click here if you have questions on how to mail your package.