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Buying Palladium from PalladiumDealer.com  

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Please fill in all the questions below if you have waited 30 days
after date of mailing and wish to file an official Federal Loss Claim.
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Claim

                  Enter a brief statement explaining the details of your claim.
                  Example: I have waited more than 15 business days and have not received my shipment
                                  from the United States Postal Service or other carrier in the space provided below.
                 Example: My shipment arrived damaged or incomplete. I have saved all packaging
                                  for future inspection.

Tell Goldmasters who is filing this claim and how to get in touch with you:

Your Full Name: (As shown on Your Confirmation)
First Name:   Middle Initial:  Last Name: 
Your Full Address: (As shown on Your Confirmation. Please Include Your Street Address, City,  State and Zip code)
Address: 
City:          State:   Zip / Postal Code: 
Confirmation / Trade Number : 
E-mail:        
Telephone:  Format Example (234)555-1234
FAX:     (Not Required)