JSA Submission Form

JSA Submission Form
Customer Name*
Shipping Address (no P.O. Box)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Country CodeArea CodePhone Number
Are you mailing this submission to JSA or dropping it off at a show?*

Mailing inShow Drop-off
Are you submitting a bulk order (25 or more items)?*

YesNo
Item Quantity*
MINIMUM OF 25 COLLECTIBLES
Who signed your item?*

Collectible Information

Complete the following section as applicable to your collectibles. Please be sure to list one collectible per line. If you have more than one collectible, each will need to be listed separately.

Not all sections may apply to every collectible.
Item Type*
Item #1 - ex. baseball, Funko Pop, hockey puck
Who signed your item?*
Item #1
Item Quantity*
Item #1
JSA Services*

Basic Certification (COA)Letter of Authenticity (LOA)
Do you want your autograph graded for an additional fee? (Can only be added if there are no more than 2 signatures on the item)*

YesNo
Authentication Sticker placement*

On ItemOn Letter (LOA)
Desired placement of Authentication Sticker on item or choose authenticator's discretion of placement*
Item #1 - ex. front or back of item
Desired placement of Authentication Sticker on item (i.e. Front Bottom Left) or choose authenticator's discretion of placement*

FrontBackSideLeftRightTopBottomAuthenticator's Discretion
Add another collectible?*

YesNo
Item Type*
Item #2 - ex. baseball, Funko Pop, hockey puck
Who signed your item?*
Item #2
Item Quantity*
Item #2
JSA Services*

Basic Certification (COA)Letter of Authenticity (LOA)
Do you want your autograph graded for an additional fee? (Can only be added if there are no more than 2 signatures on the item)*

YesNo
Authentication Sticker placement*

On ItemOn Letter (LOA)
Desired placement of Authentication Sticker on item or choose authenticator's discretion of placement*
Item #2 - ex. front or back of item
Desired placement of Authentication Sticker on item (i.e. Front Bottom Left) or choose authenticator's discretion of placement*

FrontBackSideLeftRightTopBottomAuthenticator's Discretion
Add another collectible?*

YesNo
Item Type*
Item #3 - ex. baseball, Funko Pop, hockey puck
Who signed your item?*
Item #3
Item Quantity*
Item #3
JSA Services*

Basic Certification (COA)Letter of Authenticity (LOA)
Do you want your autograph graded for an additional fee? (Can only be added if there are no more than 2 signatures on the item)*

YesNo
Authentication Sticker placement*

On ItemOn Letter (LOA)
Desired placement of Authentication Sticker on item or choose authenticator's discretion of placement*
Item #3 - ex. front or back of item
Desired placement of Authentication Sticker on item (i.e. Front Bottom Left) or choose authenticator's discretion of placement*

FrontBackSideLeftRightTopBottomAuthenticator's Discretion
Add another collectible?*

YesNo
Item Type*
Item #4 - ex. baseball, Funko Pop, hockey puck
Who signed your item?*
Item #4
Item Quantity*
Item #4
JSA Services*

Basic Certification (COA)Letter of Authenticity (LOA)
Do you want your autograph graded for an additional fee? (Can only be added if there are no more than 2 signatures on the item)*

YesNo
Authentication Sticker placement*

On ItemOn Letter (LOA)
Desired placement of Authentication Sticker on item or choose authenticator's discretion of placement*
Item #4 - ex. front or back of item
Desired placement of Authentication Sticker on item (i.e. Front Bottom Left) or choose authenticator's discretion of placement*

FrontBackSideLeftRightTopBottomAuthenticator's Discretion
Add another collectible?*

YesNo
Item Type*
Item #5 - ex. baseball, Funko Pop, hockey puck
Who signed your item?*
Item #5
Item Quantity*
Item #5
JSA Services*

Basic Certification (COA)Letter of Authenticity (LOA)
Do you want your autograph graded for an additional fee? (Can only be added if there are no more than 2 signatures on the item)*

YesNo
Authentication Sticker placement*

On ItemOn Letter (LOA)
Desired placement of Authentication Sticker on item or choose authenticator's discretion of placement*
Item #5 - ex. front or back of item
Desired placement of Authentication Sticker on item (i.e. Front Bottom Left) or choose authenticator's discretion of placement*

FrontBackSideLeftRightTopBottomAuthenticator's Discretion
Add another collectible?*

YesNo
Item Type*
Item #6 - ex. baseball, Funko Pop, hockey puck
Who signed your item?*
Item #6
Item Quantity*
Item #6
JSA Services*

Basic Certification (COA)Letter of Authenticity (LOA)
Do you want your autograph graded for an additional fee? (Can only be added if there are no more than 2 signatures on the item)*

YesNo
Authentication Sticker placement*

On ItemOn Letter (LOA)
Desired placement of Authentication Sticker on item or choose authenticator's discretion of placement*
Item #6 - ex. front or back of item
Desired placement of Authentication Sticker on item (i.e. Front Bottom Left) or choose authenticator's discretion of placement*

FrontBackSideLeftRightTopBottomAuthenticator's Discretion
Add another collectible?*

YesNo
Item Type*
Item #7 - ex. baseball, Funko Pop, hockey puck
Who signed your item?*
Item #7
Item Quantity*
Item #7
JSA Services*

Basic Certification (COA)Letter of Authenticity (LOA)
Do you want your autograph graded for an additional fee? (Can only be added if there are no more than 2 signatures on the item)*

YesNo
Authentication Sticker placement*

On ItemOn Letter (LOA)
Desired placement of Authentication Sticker on item or choose authenticator's discretion of placement*
Item #7 - ex. front or back of item
Desired placement of Authentication Sticker on item (i.e. Front Bottom Left) or choose authenticator's discretion of placement*

FrontBackSideLeftRightTopBottomAuthenticator's Discretion
Add another collectible?*

YesNo
Item Type*
Item #8 - ex. baseball, Funko Pop, hockey puck
Who signed your item?*
Item #8
Item Quantity*
Item #8
JSA Services*

Basic Certification (COA)Letter of Authenticity (LOA)
Do you want your autograph graded for an additional fee? (Can only be added if there are no more than 2 signatures on the item)*

YesNo
Authentication Sticker placement*

On ItemOn Letter (LOA)
Desired placement of Authentication Sticker on item or choose authenticator's discretion of placement*
Item #8 - ex. front or back of item
Desired placement of Authentication Sticker on item (i.e. Front Bottom Left) or choose authenticator's discretion of placement*

FrontBackSideLeftRightTopBottomAuthenticator's Discretion
Add another collectible?*

YesNo
Item Type*
Item #9 - ex. baseball, Funko Pop, hockey puck
Who signed your item?*
Item #9
Item Quantity*
Item #9
JSA Services*

Basic Certification (COA)Letter of Authenticity (LOA)
Do you want your autograph graded for an additional fee? (Can only be added if there are no more than 2 signatures on the item)*

YesNo
Authentication Sticker placement*

On ItemOn Letter (LOA)
Desired placement of Authentication Sticker on item or choose authenticator's discretion of placement*
Item #9 - ex. front or back of item
Desired placement of Authentication Sticker on item (i.e. Front Bottom Left) or choose authenticator's discretion of placement*

FrontBackSideLeftRightTopBottomAuthenticator's Discretion
Add another collectible?*

YesNo
Item Type*
Item #10 - ex. baseball, Funko Pop, hockey puck
Who signed your item?*
Item #10
Item Quantity*
Item #10
JSA Services*

Basic Certification (COA)Letter of Authenticity (LOA)
Do you want your autograph graded for an additional fee? (Can only be added if there are no more than 2 signatures on the item)*

YesNo
Authentication Sticker placement*

On ItemOn Letter (LOA)
Desired placement of Authentication Sticker on item or choose authenticator's discretion of placement*
Item #10 - ex. front or back of item
Desired placement of Authentication Sticker on item (i.e. Front Bottom Left) or choose authenticator's discretion of placement*

FrontBackSideLeftRightTopBottomAuthenticator's Discretion
Add another collectible?*

YesNo
Item Type*
Item #11 - ex. baseball, Funko Pop, hockey puck
Who signed your item?*
Item #11
Item Quantity*
Item #11
JSA Services*

Basic Certification (COA)Letter of Authenticity (LOA)
Do you want your autograph graded for an additional fee? (Can only be added if there are no more than 2 signatures on the item)*

YesNo
Authentication Sticker placement*

On ItemOn Letter (LOA)
Desired placement of Authentication Sticker on item or choose authenticator's discretion of placement*
Item #11 - ex. front or back of item
Desired placement of Authentication Sticker on item (i.e. Front Bottom Left) or choose authenticator's discretion of placement*

FrontBackSideLeftRightTopBottomAuthenticator's Discretion
Add another collectible?*

YesNo
Item Type*
Item #12 - ex. baseball, Funko Pop, hockey puck
Who signed your item?*
Item #12
Item Quantity*
Item #12
JSA Services*

Basic Certification (COA)Letter of Authenticity (LOA)
Do you want your autograph graded for an additional fee? (Can only be added if there are no more than 2 signatures on the item)*

YesNo
Authentication Sticker placement*

On ItemOn Letter (LOA)
Desired placement of Authentication Sticker on item or choose authenticator's discretion of placement*
Item #12 - ex. front or back of item
Desired placement of Authentication Sticker on item (i.e. Front Bottom Left) or choose authenticator's discretion of placement*

FrontBackSideLeftRightTopBottomAuthenticator's Discretion
Add another collectible?*

YesNo
Item Type*
item #13 - ex. baseball, Funko Pop, hockey puck
Who signed your item?*
Item #13
Item Quantity*
Item #13
JSA Services*

Basic Certification (COA)Letter of Authenticity (LOA)
Do you want your autograph graded for an additional fee? (Can only be added if there are no more than 2 signatures on the item)*

YesNo
Authentication Sticker placement*

On ItemOn Letter (LOA)
Desired placement of Authentication Sticker on item or choose authenticator's discretion of placement*
Item #13 - ex. front or back of item
Desired placement of Authentication Sticker on item (i.e. Front Bottom Left) or choose authenticator's discretion of placement*

FrontBackSideLeftRightTopBottomAuthenticator's Discretion
Add another collectible?*

YesNo
Item Type*
Item #14 - ex. baseball, Funko Pop, hockey puck
Who signed your item?*
Item #14
Item Quantity*
Item #14
JSA Services*

Basic Certification (COA)Letter of Authenticity (LOA)
Do you want your autograph graded for an additional fee? (Can only be added if there are no more than 2 signatures on the item)*

YesNo
Authentication Sticker placement*

On ItemOn Letter (LOA)
Desired placement of Authentication Sticker on item or choose authenticator's discretion of placement*
Item #14 - ex. front or back of item
Desired placement of Authentication Sticker on item (i.e. Front Bottom Left) or choose authenticator's discretion of placement*

FrontBackSideLeftRightTopBottomAuthenticator's Discretion
Add another collectible?*

YesNo
Item Type*
Item #15 - ex. baseball, Funko Pop, hockey puck
Who signed your item?*
Item #15
Item Quantity*
Item #15
JSA Services*

Basic Certification (COA)Letter of Authenticity (LOA)
Do you want your autograph graded for an additional fee? (Can only be added if there are no more than 2 signatures on the item)*

YesNo
Authentication Sticker placement*

On ItemOn Letter (LOA)
Desired placement of Authentication Sticker on item or choose authenticator's discretion of placement*
Item #15 - ex. front or back of item
Desired placement of Authentication Sticker on item (i.e. Front Bottom Left) or choose authenticator's discretion of placement*

FrontBackSideLeftRightTopBottomAuthenticator's Discretion
Add another collectible?*

YesNo
Item Type*
Item #16 - ex. baseball, Funko Pop, hockey puck
Who signed your item?*
Item #16
Item Quantity*
Item #16
JSA Services*

Basic Certification (COA)Letter of Authenticity (LOA)
Do you want your autograph graded for an additional fee? (Can only be added if there are no more than 2 signatures on the item)*

YesNo
Authentication Sticker placement*

On ItemOn Letter (LOA)
Desired placement of Authentication Sticker on item or choose authenticator's discretion of placement*
Item #16 - ex. front or back of item
Desired placement of Authentication Sticker on item (i.e. Front Bottom Left) or choose authenticator's discretion of placement*

FrontBackSideLeftRightTopBottomAuthenticator's Discretion
Add another collectible?*

YesNo
Item Type*
Item #17 - ex. baseball, Funko Pop, hockey puck
Who signed your item?*
Item #17
Item Quantity*
Item #17
JSA Services*

Basic Certification (COA)Letter of Authenticity (LOA)
Do you want your autograph graded for an additional fee? (Can only be added if there are no more than 2 signatures on the item)*

YesNo
Authentication Sticker placement*

On ItemOn Letter (LOA)
Desired placement of Authentication Sticker on item or choose authenticator's discretion of placement*
Item #17 - ex. front or back of item
Desired placement of Authentication Sticker on item (i.e. Front Bottom Left) or choose authenticator's discretion of placement*

FrontBackSideLeftRightTopBottomAuthenticator's Discretion
Add another collectible?*

YesNo
Item Type*
Item #18 - ex. baseball, Funko Pop, hockey puck
Who signed your item?*
Item #18
Item Quantity*
Item #18
JSA Services*

Basic Certification (COA)Letter of Authenticity (LOA)
Do you want your autograph graded for an additional fee? (Can only be added if there are no more than 2 signatures on the item)*

YesNo
Authentication Sticker placement*

On ItemOn Letter (LOA)
Desired placement of Authentication Sticker on item or choose authenticator's discretion of placement*
Item #18 - ex. front or back of item
Desired placement of Authentication Sticker on item (i.e. Front Bottom Left) or choose authenticator's discretion of placement*

FrontBackSideLeftRightTopBottomAuthenticator's Discretion
Add another collectible?*

YesNo
Item Type*
Item #19 - ex. baseball, Funko Pop, hockey puck
Who signed your item?*
Item #19
Item Quantity*
Item #19
JSA Services*

Basic Certification (COA)Letter of Authenticity (LOA)
Do you want your autograph graded for an additional fee? (Can only be added if there are no more than 2 signatures on the item)*

YesNo
Authentication Sticker placement*

On ItemOn Letter (LOA)
Desired placement of Authentication Sticker on item or choose authenticator's discretion of placement*
Item #19 - ex. front or back of item
Desired placement of Authentication Sticker on item (i.e. Front Bottom Left) or choose authenticator's discretion of placement*

FrontBackSideLeftRightTopBottomAuthenticator's Discretion
Add another collectible?*

YesNo
Item Type*
Item #20 - ex. baseball, Funko Pop, hockey puck
Who signed your item?*
Item #20
Item Quantity*
Item #20
JSA Services*

Basic Certification (COA)Letter of Authenticity (LOA)
Do you want your autograph graded for an additional fee? (Can only be added if there are no more than 2 signatures on the item)*

YesNo
Authentication Sticker placement*

On ItemOn Letter (LOA)
Desired placement of Authentication Sticker on item or choose authenticator's discretion of placement*
Item #20 - ex. front or back of item
Desired placement of Authentication Sticker on item (i.e. Front Bottom Left) or choose authenticator's discretion of placement*

FrontBackSideLeftRightTopBottomAuthenticator's Discretion
Add another collectible?*

YesNo
Item Type*
Item #21 - ex. baseball, Funko Pop, hockey puck
Who signed your item?*
Item #21
Item Quantity*
Item #21
JSA Services*

Basic Certification (COA)Letter of Authenticity (LOA)
Do you want your autograph graded for an additional fee? (Can only be added if there are no more than 2 signatures on the item)*

YesNo
Authentication Sticker placement*

On ItemOn Letter (LOA)
Desired placement of Authentication Sticker on item or choose authenticator's discretion of placement*
Item #21 - ex. front or back of item
Desired placement of Authentication Sticker on item (i.e. Front Bottom Left) or choose authenticator's discretion of placement*

FrontBackSideLeftRightTopBottomAuthenticator's Discretion
Add another collectible?*

YesNo
Item Type*
Item #22 - ex. baseball, Funko Pop, hockey puck
Who signed your item?*
Item #22
Item Quantity*
Item #22
JSA Services*

Basic Certification (COA)Letter of Authenticity (LOA)
Do you want your autograph graded for an additional fee? (Can only be added if there are no more than 2 signatures on the item)*

YesNo
Authentication Sticker placement*

On ItemOn Letter (LOA)
Desired placement of Authentication Sticker on item or choose authenticator's discretion of placement*
Item #22 - ex. front or back of item
Desired placement of Authentication Sticker on item (i.e. Front Bottom Left) or choose authenticator's discretion of placement*

FrontBackSideLeftRightTopBottomAuthenticator's Discretion
Add another collectible?*

YesNo
Item Type*
Item #23 - ex. baseball, Funko Pop, hockey puck
Who signed your item?*
Item #23
Item Quantity*
Item #23
JSA Services*

Basic Certification (COA)Letter of Authenticity (LOA)
Do you want your autograph graded for an additional fee? (Can only be added if there are no more than 2 signatures on the item)*

YesNo
Authentication Sticker placement*

On ItemOn Letter (LOA)
Desired placement of Authentication Sticker on item or choose authenticator's discretion of placement*
Item #23 - ex. front or back of item
Desired placement of Authentication Sticker on item (i.e. Front Bottom Left) or choose authenticator's discretion of placement*

FrontBackSideLeftRightTopBottomAuthenticator's Discretion
Add another collectible?*

YesNo
Item Type*
Item #24 - ex. baseball, Funko Pop, hockey puck
Who signed your item?*
Item #24
Item Quantity*
Item #24
JSA Services*

Basic Certification (COA)Letter of Authenticity (LOA)
Do you want your autograph graded for an additional fee? (Can only be added if there are no more than 2 signatures on the item)*

YesNo
Authentication Sticker placement*

On ItemOn Letter (LOA)
Desired placement of Authentication Sticker on item or choose authenticator's discretion of placement*
Item #24 - ex. front or back of item
Desired placement of Authentication Sticker on item (i.e. Front Bottom Left) or choose authenticator's discretion of placement*

FrontBackSideLeftRightTopBottomAuthenticator's Discretion

Payment & Signature
A JSA representative will call you soon to collect payment for your submission. We accept Visa, MasterCard, Discover and American Express. Please confirm the phone number you would like to receive this call at:*
Please enter a valid phone number.
Total # of Collectibles*
Method of Payment*

VisaMasterCardAmerican Express
Cardholder Name*
Card #*
Expiration Date*
CVV*
Would you like JSA to store your card for future orders?*

YesNo
Do you have any notes for the authenticators about your order?
Signature*

Clear
Today's Date*

MonthDayYear
Date
Time

Hour Minutes

AM/PM Option
Should be Empty:

JSA Submission Form

Return Shipping Method

Payment & Signature