I agree to abide by the Society's Code of Ethics.
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Signature______________________________________ OHNS#__________ Sponsor (optional)__________________________
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Quality Designation services
· · · send to OHNS QD Examiner Marc Banks
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| Marc Banks,
11 Lincoln Lane,
Weatogue, CT 06089-9781
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| Steve Alpert,
P.O.Box 335441,
North Las Vegas, NV 89033-5441
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If your coin already has ORIGINAL QD papers and is being submitted for the next annual OHNS auction, then please send both
the coin and the QD papers directly to Steve Alpert (without a QD Fee) because it does NOT need renewed QD processing.
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Submissions will be reviewed by two OHNS QD Examiners who will give independent opinions as to the quality of the carving (with explanation and/or observations), subject, and probable artist. A photograph of the coin will be taken to accompany the report. Originals of the report and photograph will be returned along with the coin to the owner and copies will be kept (1) by the first OHNS QD Examiner and (2) in the OHNS archives. Please fill out one of these forms for each coin submitted and mail coin(s), form(s) and payment to OHNS QD Examiner Marc Banks.
For ADDITIONAL INSURANCE and/or REGISTERED MAIL: Please enclose an additional $5 per coin, per each additional $500 of insurance (or fraction thereof, up to a maximum of $25 for all coins submitted). If Registered Mail is desired on a single coin submission, add an additional $15.
I understand the opinions rendered are strictly that, and are not a guarantee of value or authenticity. It is, however, the best considered judgment by qualified specialists in the field; but, others may reach different conclusions.
I authorize OHNS to use
__a photograph of my coin ...and...
__my name (not address).
I want this coin
__returned to me ...or...
__placed in the next annual OHNS auction. ← Crucial Information!
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Owner's Signature__________________________________________ OHNS#__________ Date______________
Owner's value of coin (necessary for insurance)... $________________ ← Must Be Provided!
Quality Designation Fees... $15 per coin; 10 or more coins @ $12.50 ea.; $25 per coin for non-members.
Fee includes first class postage and $100 insurance per coin.
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Personal Contact information
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Name_____________________________________________ OHNS#__________
Moniker (nickname)____________________
Address_________________________________________________________________________________________________
City________________________________________________________________
State_____________
ZIP_______________
Phone (optional)...
Daytime____________________________________
Evenings_____________________________________
EMail address (optional)____________________________________________________________________________________
Please PRINT plainly... EMail is totally unforgiving!
Please make all checks payable to...
ORIGINAL HOBO NICKEL SOCIETY
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