Container Item Submission Form
Please fill in this form each time you buy an item and wish it to go into the container from CoinOp Warehouse.

DO NOT fill in this form if the item is not at CoinOp Warehouse or CoinOp Amusements and you're waiting for it to arrive - we do not need to know about anything that is in transit.

Please fill in this form per-item, if you have bought multiple items, you will need to fill the form in as many times as the number of items you have bought.
What type of item is this? *
Name of item *
Your answer
Date of purchase (approximately)
MM
/
DD
/
YYYY
Purchase value in USD *
Your answer
Would you like us to perform any of the following services when it arrives in the UK
Link to online sale page (optional) - this helps us identify multiple items later down the line.
Your answer
Any other info about this item that describes it
Your answer
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