London Gold Description Form

Reference Num
Name
Email
Telephone
Address



Description
Weight
Value
Payment
Agreed To TermsYES
Declaration

I can confirm that the property enclosed is mine to sell, and that I believe that this property is genuine gold, silver, platinum or palladium. I accept that if "Scrap Gold UK" wish to purchase these items, the transaction will be completed via a Cheque payable to the person named above, Cash or via bank transfer (FPS) on agreement. By signing below, I am stating that I agree to the terms and conditions found at www.scrapgolduk.co.uk and I accept the above stated conditions and that all information entered into this form is true to the best of my knowledge and belief.

SignedPrint NameDate
__________________________________


Note: if you cant print please write down the reference number along with name and return address and send it with your parcel