Lockdales Wholesale Order Request Form

Please provide the following contact information:

You must press TAB to move between fields, or use your mouse.  Pressing ENTER will send the form.

Name:
Title:
Street Name and Number:
Town / City:
County / State:
Postcode / Zip Code:
Country:
Telephone Number:
Alternative Number:
E-mail Address:

Fill in the following form to request a quote:

Victorian bronze pennies: How many Kilograms?:
GB pre-decimal bronze pennies: How many Kilograms?:
GB pre-decimal bronze halfpennies: How many Kilograms?:
GB pre-decimal bronze farthings: How many Kilograms?:
GB pre-decimal brass threepences: How many Kilograms?:
GB pre-decimal cupro-nickel halfcrowns: How many Kilograms?:
GB pre-decimal cupro-nickel florins: How many Kilograms?:
GB pre-decimal cupro-nickel shillings: How many Kilograms?:
GB pre-decimal cupro-nickel sixpences: How many Kilograms?:
GB silver threepences: Supplied by the 100, how many hundred?:
Mixed world coins: How many Kilograms?:
Mixed world silver coins: How many Kilograms?:
Charles & Diana crowns: Supplied by the 100, how many hundred?:
Jubilee crowns: Supplied by the 100, how many hundred?:
Churchill crowns: Supplied by the 100, how many hundred?:
Queen Mother crowns: Supplied by the 100, how many hundred?:
Gold bullion sovereigns: Supplied individually, how many exactly?:
If there are any other special types of coins you would like to request, or perhaps smaller assortments, etc, fill in details of your request here:

 By which method would you intend to pay for these items? We will send you a quote first, you then may confirm and we will expect payment before the items are dispatched.  Please be aware that there may be significant postal charges for sending heavy parcels overseas.

Cash GB£
Cash US$
Cash Euros
Cheque GB£
Paypal (sales@lockdales.com)
Credit Card
Debit Card
Postal Order
Direct Transfer

Click 'Submit Form' above when you have filled in all the necessary details.
When you receive your quote, if you decide to go ahead with your order:
Please make cheques payable to 'Lockdales'

Please send payment to: Lockdales, 37  Upper Orwell St, Ipswich, Suffolk, UK, IP4 1HP, Tel/Fax: (01473) 218588, International: 0044 1473 218588

Always include your personal details with any payment so we can match the order.

Credit and Debit card payments can be made 9:30am to 4:30pm UK time Monday to Friday over the phone, or any time via email.  We advise that those sending details via email split those details into several messages for security.