Wait List Application Form

Complete the form below to be added to our wait-list for Gold & Silver products. Minimum backorder size is 10oz Silver or 1/10oz Gold.
As new stock becomes available we will call people on this list in strict order.

WAIT TIMES CURRENTLY 2-4 WEEKS
(DEPENDANT ON SUPPLY)

MULTIPLE OR DUPLICATE APPLICATIONS FOR THE SAME METAL WILL ALL BE REJECTED

* - indicates compulsary field

First Name *
Surname *
Email *
Daytime Phone *
Pickup Location* No Shipping	Bedford, NS Riverview, NB
Metal Type*	Silver Gold
Qty Requested (oz)* Silver Min 10 oz Gold Min 1/10 oz
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