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-- SlabTracker Signup Form --

Shop name

Shop website (URL)*

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Primary grading contact

Email for CC/reply messages

Email for billing

Preferred ST login (email)

Preferred ST password

Note: We do not store and cannot provide any password information.

Add your PSA TOKEN here

Approximate grading items/month

Website platform

Agreed upon monthly rate

Agreed upon billing start date

Month

Day

Year

I agree to signup for AUTOPAY (please note that autopay is required before setup can commence)

Shop logo image

Please provide a high quality shop logo (jpeg, png, or svg)

I agree to the SlabTracker terms and conditions for use.

Signature

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