Complete this short form to request your free gold pack by mail.
Full Name
Date Of Birth
Street
City
State
Zip
State Issued Identification Number
(Drivers License or ID Card)
Email Address
Phone
Preferred Contact Method
How many items are you sending?
We will contact you with the value of your items by your preferred contact method after they've been inspected, tested and weighed. Must be at least 18 years old to participate. Springfield city ordanance requires valid identification or valid state issued ID number.