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?
Are you submitting a bulk order (25 or more items)?
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
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)
Authentication Sticker placement
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
Add another collectible?
Item Type
Item #2 - ex. baseball, Funko Pop, hockey puck
Who signed your item?
Item #2
Item Quantity
Item #2
JSA Services
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)
Authentication Sticker placement
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
Add another collectible?
Item Type
Item #3 - ex. baseball, Funko Pop, hockey puck
Who signed your item?
Item #3
Item Quantity
Item #3
JSA Services
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)
Authentication Sticker placement
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
Add another collectible?
Item Type
Item #4 - ex. baseball, Funko Pop, hockey puck
Who signed your item?
Item #4
Item Quantity
Item #4
JSA Services
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)
Authentication Sticker placement
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
Add another collectible?
Item Type
Item #5 - ex. baseball, Funko Pop, hockey puck
Who signed your item?
Item #5
Item Quantity
Item #5
JSA Services
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)
Authentication Sticker placement
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
Add another collectible?
Item Type
Item #6 - ex. baseball, Funko Pop, hockey puck
Who signed your item?
Item #6
Item Quantity
Item #6
JSA Services
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)
Authentication Sticker placement
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
Add another collectible?
Item Type
Item #7 - ex. baseball, Funko Pop, hockey puck
Who signed your item?
Item #7
Item Quantity
Item #7
JSA Services
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)
Authentication Sticker placement
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
Add another collectible?
Item Type
Item #8 - ex. baseball, Funko Pop, hockey puck
Who signed your item?
Item #8
Item Quantity
Item #8
JSA Services
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)
Authentication Sticker placement
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
Add another collectible?
Item Type
Item #9 - ex. baseball, Funko Pop, hockey puck
Who signed your item?
Item #9
Item Quantity
Item #9
JSA Services
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)
Authentication Sticker placement
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
Add another collectible?
Item Type
Item #10 - ex. baseball, Funko Pop, hockey puck
Who signed your item?
Item #10
Item Quantity
Item #10
JSA Services
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)
Authentication Sticker placement
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
Add another collectible?
Item Type
Item #11 - ex. baseball, Funko Pop, hockey puck
Who signed your item?
Item #11
Item Quantity
Item #11
JSA Services
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)
Authentication Sticker placement
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
Add another collectible?
Item Type
Item #12 - ex. baseball, Funko Pop, hockey puck
Who signed your item?
Item #12
Item Quantity
Item #12
JSA Services
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)
Authentication Sticker placement
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
Add another collectible?
Item Type
item #13 - ex. baseball, Funko Pop, hockey puck
Who signed your item?
Item #13
Item Quantity
Item #13
JSA Services
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)
Authentication Sticker placement
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
Add another collectible?
Item Type
Item #14 - ex. baseball, Funko Pop, hockey puck
Who signed your item?
Item #14
Item Quantity
Item #14
JSA Services
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)
Authentication Sticker placement
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
Add another collectible?
Item Type
Item #15 - ex. baseball, Funko Pop, hockey puck
Who signed your item?
Item #15
Item Quantity
Item #15
JSA Services
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)
Authentication Sticker placement
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
Add another collectible?
Item Type
Item #16 - ex. baseball, Funko Pop, hockey puck
Who signed your item?
Item #16
Item Quantity
Item #16
JSA Services
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)
Authentication Sticker placement
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
Add another collectible?
Item Type
Item #17 - ex. baseball, Funko Pop, hockey puck
Who signed your item?
Item #17
Item Quantity
Item #17
JSA Services
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)
Authentication Sticker placement
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
Add another collectible?
Item Type
Item #18 - ex. baseball, Funko Pop, hockey puck
Who signed your item?
Item #18
Item Quantity
Item #18
JSA Services
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)
Authentication Sticker placement
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
Add another collectible?
Item Type
Item #19 - ex. baseball, Funko Pop, hockey puck
Who signed your item?
Item #19
Item Quantity
Item #19
JSA Services
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)
Authentication Sticker placement
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
Add another collectible?
Item Type
Item #20 - ex. baseball, Funko Pop, hockey puck
Who signed your item?
Item #20
Item Quantity
Item #20
JSA Services
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)
Authentication Sticker placement
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
Add another collectible?
Item Type
Item #21 - ex. baseball, Funko Pop, hockey puck
Who signed your item?
Item #21
Item Quantity
Item #21
JSA Services
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)
Authentication Sticker placement
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
Add another collectible?
Item Type
Item #22 - ex. baseball, Funko Pop, hockey puck
Who signed your item?
Item #22
Item Quantity
Item #22
JSA Services
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)
Authentication Sticker placement
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
Add another collectible?
Item Type
Item #23 - ex. baseball, Funko Pop, hockey puck
Who signed your item?
Item #23
Item Quantity
Item #23
JSA Services
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)
Authentication Sticker placement
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
Add another collectible?
Item Type
Item #24 - ex. baseball, Funko Pop, hockey puck
Who signed your item?
Item #24
Item Quantity
Item #24
JSA Services
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)
Authentication Sticker placement
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

Signature & Confirmation
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.Format: (000) 000-0000.
Total # of Collectibles
Method of Payment
Cardholder Name
Card #
Expiration Date
CVV
Would you like JSA to store your card for future orders?
Do you have any notes for the authenticators about your order?
Signature

Clear
Today's Date

MonthDayYear
Date
Time

Hour Minutes

AM/PM Option
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JSA Submission Form

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Signature & Confirmation