Custom Coins Quote Request
DIE-STRUCK CUSTOM COINS QUOTE REQUEST
Product Category
:
*
Die-Struck Custom Challenge Coins and Commemorative Coins
CONTACT INFORMATION
First Name:
*
Last Name:
*
Company/ Organization Name
Street Address:
City:
State:
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Other
State
Zip Code:
Country:
Phone:
*
E-mail Address:
*
QUOTE SPECIFICATIONS
Similar
Product Code
:
*
c90331
c90334
c90336
c90333
c90338
c90354
c90341
c90355
c90342
c90347
c90349
c90345
c90337
c90353
c90335
Other
Similar Product Code
Attach Artwork:
Quantity:
*
100
200
300
500
1,000
2,500
5,000
Other
Quantity
Size:
*
1-1/4"
1-5/8"
1-3/4"
2"
2-1/4"
2-1/2"
3"
Other
Size
Shape:
*
Round
Rectangle
Dog tag shape
Special Shape
Base Metal:
*
Brass
Bronze
Sterling Silver
Fine Silver
Karat Gold
Coin Thickness:
*
2.5mm
3mm
3.5mm
4mm
4.5mm
Other
Coin Thickness:
Dies Front Side:
*
2-dimensional
3-dimensional modeled
Uncertain
Dies Back Side:
*
2-dimensional
3-dimensional modeled
Uncertain
Finish Desired:
*
Satin Antique Brass
Satin Antique Silver
Satin Antique Bronze
Sandblasted Background
Polish High Points
Bright Nickel Plated
Bright Gold Brass Plated
Gold Plated
Enameled Colors Front:
None
1
2
3
4
5
6
Other
Enameled Colors Front:
Enameled Colors Back:
None
1
2
3
4
5
6
Other
Enameled Colors Back:
Printed Colors Front:
1
2
3
4
Other
Printed Colors Front:
Printed Colors Back:
1
2
3
4
Other
Printed Colors Back:
4-color Process Printed Label:
Front Side
Back Side
Both Sides
Clear Epoxy Dome:
Front Side
Back Side
Both Sides
Diamond Engraved Borders:
Front Side
Back Side
Both Sides
Scalloped Outside Border Not Diamond Engraved:
NO
YES
Pierced Cut Out Area:
NO
YES
Sequential Numbering:
3 digits
4 digits
Engraving On Edge Of Coin:
NO
YES
Packaging Required:
*
Poly Bagged
Vinyl Pouch
Air Tight Plastic Round Box
Hard Covered Velour Gift Box
Delivery Date Requested:
Additional Notes:
Preproduction Sample Requested
*
Yes
No
Approximate date when you would issue a purchase order:
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