High Value Precious Metals Refining Order



Send completed order form to:

Refining Dept. ( # Insert Order Reference No # )
Jewellery Discount Shop
PO BOX 2657
ROMFORD
RM4 - 1WD


Name : Order Reference # :
Address : Scrap Gold Account # :
Address : email address :
County : (complete below for bank transfer only)
Postcode : Bank Account Name :
Telephone # : Bank Sort Code :
Mobile Phone # : Bank Account # :

Payment Type : Cheque Bank Transfer Bullion Payment
Bullion Payments state preferred Bullion type & size.
Select from Bullion sales pages on Website :
 
Metal(s) Submitted : Gold Silver Platinum Palladium Rhodium Unknown
Carat Rating (Purity) : Estimated Weight :

Detailed description of material in this Lot
submitted for processing and recycling :
 
 
 
 

www.ScrapGoldOnline.com


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