Help completing a SafeGuard Submission Form

Prices:1st Item= £49.95           2nd Item: £29.95         Jewellery Portfolio: £95/£45

1. Tick box for which service you require
2. Tick box for which type of customer you are
3. If not a Retailer, go to 4
1. Fill in name of retailer submitting the item
2. Fill in Address and Branch Number of retailer submitting the item
3. Fill in Shop Reference and Telephone Number

• Fill in name of customer submitting the item
• Fill in address of customer submitting the item
• Fill in Postcode of customer submitting the item
• Fill in the Telephone Number of customer submitting the item

5.    Please submit all certificates and/or previous valuations relating to
items being submitted

6.    Tick type of valuation you would like and fill in details if required

7.    Simple description of item – e.g. Silver Watch

8.    Short description of any faults, comments, weight, etc. – e.g. Links Missing

9.    Give an estimated value if applicable – e.g. £1500

• Please select method of return. Item will be returned using the same method it was sent by. In  special circumstances the return method will be discussed and agreed with customer prior to being sent back by SafeGuard. Please bear in mind insurance guarantees for different delivery methods. Securicor are insured to the value of £20,000.

11.  Fill in number of items being sent for Valuation

12.  Please Tick if SafeMark is NOT Required

• State which method of payment you wish to use. If you do not have an account with SafeGuard please enclose payment with items. Valuations will not be processed until payment has been received
• Signature of person submitting the items and date
• Before submitting items please Read Terms and Conditions