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Trade in your Profit Shares for FREE coins & collecting supplies!

Here’s how:	1) Simply print and fill out this form
	2) Use the item numbers in the Profit Share Wish Book
	3) Mail this form and the appropriate number of shares to: Littleton Coin Company PO Box 5000 Littleton, NH 03561-5000

Start enjoying FREE merchandise today!

Please list items you wish to order:

Item	Description	Shares required






	Total Shares Required for item(s) ordered
	Less Paper Profit Shares enclosed (if more than required, fill in difference below)
	Less Electronic Profit Shares redeemed
	Difference (Littleton will credit your Electronic Profit Share account if there are more Shares enclosed than needed)

Customer Number
Name
Address
City
State
Zip

ZSL

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