ORDER FORM
Coins, Medals, Tokens, & Sculptures by Moonlight Mint and Daniel Carr
Most items can be ordered by visiting www.dc-coin.com , or by mailing this order form to the address shown below.
Please see other catalog pages for catalog numbers, item descriptions, and prices.
Write catalog number, brief description, price, quantity, and total on each line below.
Note: Items with prices listed with no price or as “Sold Out” or “N/A” are not available.
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Product Total: |
$ |
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Flat-rate insured shipping $10 USA ($20 international) per coin/token/medal order, regardless of the quantity: |
$ |
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Grand Total With Shipping: |
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Prices and availability
are subject to change without notice.
Please send order form, along with check or money order (payable) to:
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Moonlight Mint P.O. Box 7486 Loveland, CO 80537-0486 USA |
970-667-7610 |
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Shipping / Address |
* Optional Fields ------------------------------------------------------- |
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NAME |
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* TELEPHONE |
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* COMMENTS |
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