Great Southern Coins is proud to offer you this Wholesale form. This form is available to retailers that want to buy bulk lots for resale. We would appreciate only serious inquiries. It will facilitate the quick and efficient location of coins if the retailer researches current and reliable cost estimates of the pieces they are requesting before they complete the form. Our objective is to provide retailers with a variety of coins. At an addition cost, we can photograph the coins that you purchase. The photographs in jpeg format will be included on a compact disc (CD) that will be shipped with your coins. After completing and submitting the request form, our retailers will be contacted via e-mail, phone number and/or physical address that were provided.

*All information provided will be protected and treated with the utmost of security. Please review our privacy policy.

FULL NAME

BUSINESS

ADDRESS

CITY

STATE / PROVIDENCE

ZIP CODE

PHONE

E-MAIL

BEST WAY TO CONTACT YOU?

PICTURE SERVICE?

YOUR PRICE RANGE?

COMMENTS /
COIN(S) YOU WANT TO BUY