Signature Series Submission Form

Name of convention, private signing, etc.

Comic Book or MagazinePrints/Photos/Sketches

Modern ($47) 1975-present; max value $400Modern Fast Track ($47+$15) per collectibleVintage ($62) Pre-1975; max value $400Vintage Fast Track ($62+$15) per collectibleHigh Value ($115) max value $1,000Unlimited Value (4% of FMV/Min $135)

(9x11, 11x17, 14x20) $35Handbills/Postcards $40

JSA Autograph Authentication ($25 per autograph)JSA Autograph Grading ($25 per comic - 2 autograph max.)JSA Autograph PreScreen (Grading Fee OR $9 Reject Fee)

Image ($5 per book)Custom Label ($8 per book)ReHolder ($25) max value $1,000High Val. ReHolder ($75)

FedEx Ground (Total Declared Value: $1-$1,500)FedEx Ground (Total Declared Value: $1,501-$25,000)FedEx Ground (Total Declared Value: $25,001-$50,000)FedEx Standard Overnight (Total Declared Value: $50,001-$100,000)FedEx International Economy (Total Declared Value: $1-$1,500)FedEx International Economy (Total Declared Value: $1,501-$25,000)FedEx International Priority (Total Declared Value: $25,001-$50,000)Hold for Pick Up (CGC Authorized Dealer ONLY - by appointment)Ship books under my self-insured FedEx or UPS account:

Ship books under my self-insured FedEx or UPS account:

Customer Shipping Information

Address

Street Address Line 2

CityState

ZIPCountry

Collectible Information

Complete the following section as applicable to your comics. Not all sections will apply. MAX 25 BOOKS PER BOX W/ RETURN SHIPPING.

Please only continue to fill out the below sections if you are submitting multiple different books/magazines.

Line 10

Line 11

Line 12

Line 13

Sum of all listed books combined declared value

Confirm the grading tier you selected

If different than Ship To address

PAYMENT AND SIGNATURE

Card Information