6086 Graystone Loop • Springfield, OR 97478
sales@huberusa.com

Orders By Fax

Faxed Orders

Download one of the following forms (right click and save)
Fill out (this may be done on your computer or after printing)
Fax back to us at (717) 480-4445

NEW FAX ORDER

PDF Word

FAX REORDER

PDF Word

Money Order or Business Check Orders

Please make check payable to:
"makecoins.com, Inc."

and mail it to:
makecoins.com, Inc.
1426 North 3rd Street
Suite 200
Harrisburg, PA 17102

Include a point of contact, phone number (day and evening) and an email address.

If you have any questions or need assistance, please contact us before sending in your order form.
As soon as your die is paid, we will begin working on your design. When the design is finished it will be placed online for your approval.
Once we begin working on your design, if you decide to cancel the order then a design fee of $150.00 will be charged.
After you approve the design, the balance must be paid, then we will send it to the diemaker.
When the die maker receives it, no credits or refunds will be issued.