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Submission Form

You can fill this item out and then print, or print several off and fill them out by hand.

Verisleeve
6615 W. Boynton Beach Blvd
Suite 332
Boynton Beach FL 33437
Contact Us
info@verisleeve.com
http://www.verisleeve.com

CUSTOMER NAME CUSTOMER ADDRESS SERVICE LEVEL VS INTERNAL USE





















   Standard: $3 per card
         15 Business Days

   Premium: $5 per card
         5 Business Days





 

All Fees & Terms are subject to change. One type of service per form. All delivery times are in business days. We do not ship to PO Boxes.


  Qty Sport Manufacturer Year Card # Player Name Value
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
  Total Insured Value

 

Each order must have a total insured value. If the insured “Value” column is left blank, your order will be sent back without insurance coverage.
The value you input next to “Total Insured Value”should be the total for the entire “Value” column.


Cost Calculator

Service Type Tot Qty Unit Price Total
Return Shipping (Use chart below to determine return shipping)
Grand Total
 

Payment Method

You will be charged and/or invoiced (paypal) upon receipt of your order
Check or MO #
Paypal Email Address
Referrer or Comments:
Failure to include shipping or insurance fee will cause delays in processing. All fees, terms and conditions are subject to change. Additional shipping fees may apply outside the continental U.S.

 

I HAVE READ AND AGREE TO THE GRADING TERMS AND CONDITIONS.
http://www.verisleeve.com/help/terms.php

 
Signature
 
Date

 
 
Verisleeve Return Shipping Calculator
# CARDS
SUBMITTED
VALUE OF
$1 - $100
VALUE OF
$101 - $500
VALUE OF
$501 - $1,000
VALUE OF
$1,001 - $5,000
1 - 50
$16
$17
$18
$30
51 - 100
$17
$18
$19
$31
101 - 250
$20
$21
$22
$34
251 - 500
$25
$26
$27
$40