Mail payment to:
Wyatt Fawley
PO Box 253
Greensboro Pa 15338
| Stock number |
Date
and Mint |
Grade |
 |
Special
comments on grade |
Price
in dollars |
Qty of ASEs accepted |
| Total for goods | $____.__ | |||||
| Postage and Insurance | $____.__ | |||||
| Total remitted | $____.__ | |||||
| alternative
(trade) payment |
Silver
Eagles x _____ |