Submissions will be reviewed by two OHNS QD Examiners who will give independent opinions as to the quality of the carving (with explanation and/or observations), subject, and probable artist. A photograph of the coin will be taken to accompany the report. Originals of the report and photograph will be returned along with the coin to the owner and copies will be kept (1) by the first OHNS QD Examiner and (2) in the OHNS archives. Please fill out one of these forms for each coin submitted and mail coin(s), form(s) and payment to OHNS QD Examiner Bill Fivaz.
     For ADDITIONAL INSURANCE and/or REGISTERED MAIL: Please enclose an additional $5.00 per coin, per each additional $500 of insurance (or fraction thereof, up to a maximum of $25 for all coins submitted). If Registered Mail is desired on a single coin submission, add an additional $10.
     I understand the opinions rendered are strictly that, and are not a guarantee of value or authenticity. It is, however, the best considered judgment by qualified specialists in the field; but, others may reach different conclusions.
     I authorize OHNS to use __a photograph of my coin ...and... __my name (not address).
     I want this coin __returned to me ...or... __placed in the next annual OHNS auction.     ← Crucial Information!