vsa_sub.pdf
TRANSCRIPT
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Page 1
6615 BOYNTON BEACH BLVD SUITE 332 BOYNTON BEACH, FL 33437
Verisleeve Sportscard Authentication Submission Form
CUSTOMER INFORMATION
SUBMISSION DETAILS
QTY SPORT MANUFACTURER YEAR CARD # PLAYER NAME VALUE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
NAME:
PHONE:
EMAIL:
STREET:
CITY:
STATE / ZIP:
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Page 2
6615 BOYNTON BEACH BLVD SUITE 332 BOYNTON BEACH, FL 33437
Verisleeve Sportscard Authentication Submission Form
SUBMISSION DETAILS
QTY SPORT MANUFACTURER YEAR CARD # PLAYER NAME VALUE
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
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Page 3
6615 BOYNTON BEACH BLVD SUITE 332 BOYNTON BEACH, FL 33437
Verisleeve Sportscard Authentication Submission Form
COST / PAYMENT INFORMATION
SERVICE
TOT QTY
PER CARD TOTALS
RETURN SHIPPING CHARGE: (SHIPPING CALCULATOR BELOW)
ORDER TOTAL:
CHECK/MONEY ORDER #:
PAYPAL EMAIL ADDRESS:
FOR PAYPAL ORDERS, YOU WILL BE INVOICED UPON RECEIPT OF YOUR ORDER. SERVICE TIME BEGINS AT TIME OF PAYMENT.
COST CALCULATOR PAYMENT INFORMATION
SERVICE LEVELS: STANDARD (20 BUSINESS DAYS), $3.00 PER CARD; PREMIUM (5 BUSINESS DAYS), $5.00 PER CARD. PLEASE NOTE: FAILURE TO INCLUDE SHIPPING OR INSURANCE FEES WILL CAUSE DELAYS IN PROCESSING YOUR ORDER. ALL FEES, TERMS, AND CONDITIONS ARE SUBJECT TO CHANGE. ADDITIONAL SHIPPING FEES MAY APPLY OUTSIDE THE CONTINENTAL U.S.
AUTHORIZATION
Your signature is necessary to complete your order and constitutes an agreement in accordance to the VERISLEEVE LLC. terms and conditions detailed at: http://www.verisleeve.com/help/terms.php
SIGNATURE:
PRINT:
DATE:
RETURN SHIPPING CALCULATOR: Use the chart to determine your return shipping charges. Locate the number of cards being submitted and match that with the total insured value of your order to identify the return insured shipping charges to include in the cost calculator.
TOTAL INSURED VALUE
# CARDS $1 - $100 $101 - $500 $501 - $1000 $1001 - $5000 1-100 $16 $17 $18 $26
101-250 $17 $18 $19 $27 251-500 $18 $19 $20 $28
501+ $20 $21 $22 $30
COMMENTS / SPECIAL REQUESTS? If you have any special instructions or comments related to your order, please detail them here. We will make every effort to accommodate your request.
USING THIS SUBMISSION FORM If your order contains more than 35 cards, simply print and complete multiple copies of page 2 (Submission Details) along with a single copy of page 1 and 3. If you have any questions, please contact Verisleeve customer service at [email protected] or at www.verisleeve.com