Geronimos Coin Order Form

Please enclose check made out to Geronimos Coin and send to:

Geronimos Coin

7111 Sapphire Ct SW

Lakewood, WA 98498

YOUR ORDER INFORMATION:

One coin: $12.00 plus $4.00 postage = $16.00

Two or more coins, number of coins ___ X $12.00 (includes shipping) = Total amount enclosed: $_________

Include your e-mail address, and I’ll send you a postal tracking number.

NOTE: Overseas orders, please adjust total to cover the extra postage to your location. (Does not apply to APO addresses.) Thank you!

Address:

Name:

Street:

City/State:

Zip: