Print out and use these convenient forms if you are sending coins to Midwest Mint.

Print out this page, cut out the SHIPPING LABEL, and use it on your package. And use the convenient form below to place INSIDE your package.

Return Address:

Send To:


                               ATTN: APPRAISAL DEPT.

                               PCI
                               212 SE 2nd Street, Suite 218
                               Minneapolis, Minnesota
                               55401    U.S.A.



  

Use this form to put INSIDE your package.


NAME                                                                                        

ADDRESS                                                                                        

ADDRESS                                                                                        

CITY                                                                                        

STATE/PROV.                                                                                        

ZIP/POSTAL                                          COUNTRY                               

TELEPHONE        (              )                                                                

E-MAIL                                                                                        

         Additional comments on the back