High Value Precious Metals Refining Order
Send completed order form to:
Refining Department
Jewellery Discount Shop
PO BOX 2657
ROMFORD , ESSEX
RM4 - 1WD
| Name : | Order Reference # : [ for office use ] | | Address : | Scrap Account # : [ for office use ] |
| Address : | email address : | | County : | (complete below for bank transfer only) |
| Postcode : | Bank Account Name : | | Telephone # : | Bank Sort Code : |
| Mobile Phone # : | Bank Account # : |
Bullion Payment Metal Type,Bars or Rounds,Size preferred Details. (supplied minus our metal premium.)
(Only complete if you require Bullion returned as payment, preferred type cannot be guaranteed.)
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| Carat Rating (Purity) : | Estimated Weight : |
Detailed description of material in this Lot
submitted for processing and payment :
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