Valcambi sa

Offers for Coins & Medals Form

Coins and Medals

Metal/Alloy

Quantity
Pieces
Weight
g
Diameter
mm

Colouring	Yes No
Gold Plating	Yes No
Numbering	Yes No
Type of Rim	Plain Reeded
Quality	Proof BU

Do you have the die	Yes No
Do you have the design	Yes No
Do you have the plaster	Yes No

Name/Company
Contact Person

Address

City

Country

Postal/Zip Code

Telephone

Facsimile

Email

Request for further Information

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