Stamp Grading and Authentication Submission Form
Professional Collectibles Appraiser's Grading Corporation (PCAGC)
Complete all fields, print this form, and include it with your submission package.
Submitter Information
Full Name: _____________________________ Email: _____________________________
Phone: _____________________________ Order / Account #: _____________________________
Address: _________________________ City: _____________ State: _____ ZIP: _________
Service Level
[ ] Standard Service [ ] Express Service
Stamp Submission Details
| # | Country of Origin | Year Issued | Scott # / Catalog # | Denomination | Mint / Used | Variant / Notes | Declared Value |
|---|---|---|---|---|---|---|---|
| 1 | $ | ||||||
| 2 | $ | ||||||
| 3 | $ | ||||||
| 4 | $ | ||||||
| 5 | $ |
Total Submitted: _______ Total Declared Value: $_______
Special Instructions
______________________________________________________________________________
Terms and Conditions
By signing below I confirm: (1) I am the legal owner of submitted items; (2) declared values are accurate; (3) PCAGC is not liable for items lost in transit; (4) grading decisions are final per PCAGC standards; (5) I agree to PCAGC Terms of Service at pcagc.net.
Signature: _____________________________ Date: _______________
[ ] I have read and agree to the Terms and Conditions above.
Mail to PCAGC. THE MAYBERRY HOUSE (intake center) 2161 Adams Ave Huntington, WV 25704.
*Use trackable insured shipping for the full declared value.