CBCS Canada Submission Form2240 Speers Road, Oakville, ON, L6L 2X8

844.384.4777

Date/Time/Initials for Reference

Month Day Time Initials/ / /

PAYMENT METHOD: Credit cards: Visa, Master Card, AmEx, Discover

Card #_____________________________________________________________________EXP:_________ CSC_______

Billing Address: ______________________________________________________________________________________

CHECK_$______________ CHECK#__________________ (make payable to CBCS) Cash $________________________

Signature:______________________________________________________ Date:_____________________

Terms and conditions apply. Please refer to www.CBCScomics.com or call CBCS Customer Service at (XXX) XXX-XXX for a complete listing of submission terms and rules.All CBCS quoted TAT are estimates.

Tier

TotalQTY

TotalFMV

For additional books, attach list to form

QTY Title Issue#

GradeScreen Image Pressing

PressScreen

Fair MarketValuePedigree/Variant

Shipping information

Address 1: ___________________________________________________________________________________________

Address 2: ___________________________________________________________________________________________

City: ___________________________ Province: _____________________ Postal Code: __________________

Event Name Client Name

Phone: Email:

Grading Services ADD on Service

Tier Max Value TAT Price CDA

Modern (1975- Present)

Vintage(pre 1975)

High Value (HV) $4,000 8 weeks $100

Percentage $4,000 + 8 weeks 2.6% FMV

Re-holder n/a 8 weeks $12

Original Art 2,000 8 weeks $24

ADD on Services

VSP 1st Signature $33

VSP each additionalSignature

$20

ASP/book $6

Image $6

Price

Notes

$2,000 8 weeks $24

$2,000 8 weeks $40

Insurance: Payment Total

Insurance cost applies to all carriers and is based on thedeclared Fair Market Value or Owners Declared Valuefor each comic submitted

Declared Value FEE CDA$1-$500 $5.00 $501 -$1,000 $10.00$1,001-$2,000 $15.00$2,001-$3,000 $20.00

** Add $5.00 CDN for each additional $1,000 in declaredvalue.

Taxes

5% BC, AB, SK, PQ, PEI. NWT, YK, NU

13% NB, ON, NFL

15% NS

Canada Shipping (rates on back)_____ Use Canpar_____ Use FedEx

Use my Acc#__________________

# of comics in grading Tier Price Total

Add on Services NAME QTY

Add Taxes

xxxx

$$$$

xxx

$$$$$$$$

x

Add InsuranceSHIPPINGTotal

SERVICE TERMS AND CONDITIONSThese terms and conditions apply to the submittal of all comic books through Comic Book Certification Service LLC’s (“CBCS”), by you, (the “Customer”, “you”, or “your”), described in the “Ordering” section of this submission form (collectively referred to as the “Services”):

1.CBCS grading and authenticity standards are fundamental to its concept of third-party grading. CBCS guarantees all comics submitted to it shall be graded in accordance with its stringent grading standards and procedures. CBCS guarantees this comic book has been inspected by a minimum of two graders and one finalizer. The assigned grade represents our subjective opinion. In the unlikely event of any clerical errors with respect to the description or grade of a comic book, the clerical error will be corrected at no charge. Certain books may receive a “pedigree” designation at CBCS’s discretion and based on supplied information believed to be accurate by the grading sta . Books submit-ted to CBCS may be imaged and used by CBCS at any time.

2.The CBCS comic book protective case is designed to be tamper-evident and has other security features to discourage fraudulent use. Extremes in light, temperature, moisture, vibration and other environmental conditions can contribute to the deterioration of a comic book sealed in a CBCS protective case. For maximum protection, CBCS recommends you to keep your CBCS certified comic books in an immobile, dark, temperature and humidity controlled area. The CBCS protective case is designed to open in order to allow for the proper removal of the comic book. However, opening the protective case voids all CBCS certifications, warranties and guarantees. To avoid damage to the book, extreme care in following the correct procedure for removal must be exercised. CBCS will not be financially responsible for damage that occurs to a book while not in our possession. If you are not familiar with the procedure for opening a CBCS protective case, you should contact a CBCS Customer Service representative, toll free at: 844-870-CBCS, for assistance.

3.A restoration and conservation check has been performed on books submitted for grading and encapsulation in accordance with our guidelines and procedures. Detected restoration and conservation is noted on the label. A good faith e ort is made to detect restoration and conservation, but CBCS cannot and does not warrant this process or the results. If restoration or conservation is detected, restored or conserved books will be assigned a descriptive “restored” or “conserved” label. If both restoration and conser-vation is detected, the label will note “restored” and will reflect both the restoration and conservation. CBCS does not assure market acceptance of the grade or restoration/-conservation check.

4.CBCS utilizes Beckett Authentication Services (BAS) to verify and authenticate comic book creators’ signatures as part of its Verified Signature Program (the “Program”). As part of the Program, BAS implements its standard authentication techniques on each signature submitted, and provides an opinion from as to the authenticity of the autographed signature(s) on each comic book submitted to CBCS.

5.Beckett Authentication Service determination of the authenticity of a particular signature is based on the BAS Signature Authenticator’s subjective opinion. By utilizing the Verified Signature Program, the customer releases CBCS and BAS from any and all liability which may arise based on any error made during the signature verification process or services, including but not limited to BAS authenticating a signature in error, or failing to authenticate a signature in error. The accuracy of signature verification is not guaranteed.

6.Customer acknowledges that knowingly submitting a comic book with a forged signature through the program amounts to fraud, and CBCS reserves all rights and remedies it may have to institute the appropriate legal action as a result of such conduct.

7.CBCS has the right in its sole discretion to reject any items submitted for services in cases where the submitted items do not comply with CBCS’ then-cur- rent standards and procedures.

8.CBCS will use reasonable care with respect to items submitted to it for Services. However, in the event CBCS determines an item was lost or damaged while in CBCS’ posses-sion, CBCS will compensate Customer based upon CBCS’ good faith determination of the fair market value of the item, in light of what CBCS believes to be reliable current market information. The amount of the compensation will not necessarily be based upon, but in no event will exceed, Customer’s stated insured value of the item set forth in this Submission Form.

9.Customer must inspect all items immediately upon receipt from CBCS. CBCS shall have no liability for any damage or errors unless reported to CBCS within five (5) days of Customer’s receipt of the items.

10.Customer shall complete all submission information on the Submission Form, and package and ship all items, in accordance with the instructions on the Submission Form. Customer represents and warrants to CBCS that the insured value set forth on the Submission Form represents Customer’s good faith belief as to the market value of the item. Failure to completely and accurately fill out the submission form may result in delayed turnaround times or additional charges.

11.EXCEPT FOR ANY EXPRESS WARRANTIES SET FORTH IN THESE TERMS AND CONDITIONS, CBCS DISCLAIMS ANY AND ALL WARRANTIES, EXPRESS OR IMPLIED, REGARDING CBCS AND/OR THE SERVICES, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. THE MAXIMUM AGGREGATE LIABILITY THAT CBCS SHALL HAVE TO THE CUSTOMER, OR ANY THIRD PARTY FOR WHOM THE CUSTOMER MAY BE ACTING, ARISING FROM ANY CAUSE, ACT, OMISSION OR OTHER CIRCUMSTANCE, SHALL IN NO EVENT EXCEED THE SERVICES FEE OR FEES PAID BY THE CUSTOM- ER FOR THE SERVICES ORDERED PURSUANT TO THIS SUBMISSION FORM. IN NO EVENT SHALL CBCS OR ANY OF ITS AFFILIATES, OR ANY OF ITS OR THEIR RESPECTIVE EMPLOYEES, OFFICERS, DIRECTORS OR AGENTS, BE LIABLE TO CUSTOMER OR ANY OTHER PARTY FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL OR EXEMPLARY DAMAGES, AND IN NO EVENT SHALL THE AGGREGATE LIABILITY OF CBCS, ITS AFFILIATES, AND ANY OF ITS OR THEIR RESPEC- TIVE EMPLOYEES, OFFICERS, DIRECTORS OR AGENTS, EXCEED THE FEES PAID OR PAYABLE TO CBCS FOR THE SERVICES.

FedEx can only ship to street address. They cannot ship to PO box.

Shipping using a customer's personal FedEx or UPS account is subject to packaging charges that will be calculated when the books are received at the CBCS office,and billed to the customer at that time.

Pressing prices and TATs:

CBCS Dealer Pricing

Shipping Rates: Ontario

# of Comics 1-3 4-10 11-15 16-20 21-30 31-40

Shipping Rates: NF

# of Comics 1-3 4-10 11-15 16-20 21-30 31-40

FED EX $32 $34 $36 $38 $40 $42 FED EX $37 $47 $53 $56 $68 $81

Canpar $28 $28 $31 $34 $38 $41 Canpar $53 $56 $60 $65 $74 $83

Shipping Rates:

Quebec

# of Comics

1-3 4-10 11-15 16-20 21-30 31-40

Shipping rates: Alberta

# of Comics

1-3 4-10 11-15 16-20 21-30 31-40

FED EX $33 $38 $46 $49 $53 $58 FED EX $29.00 $37.00 $42.00 $47.00 $58.00 $70.00

Canpar $22 $23 $27 $30 $32 $36 Canpar $51.00 $53.00 $58.00 $62.00 $71.00 $79.00

Shipping Rates: British

Columbia

# of Comics 1-3 4-10 15-20 16-20 21-30 31-40

Shipping rates: NS/NB

Scotia/PEI

Comics 1-3 4-10 11-15 16-20 21-30 31-40

FED EX $32 $39 $50 $55 $58 $70 FED EX $29 $36 $41 $47 $57 $70

Canpar $47 $48 $57 $57 $61 $74 Canpar $37 $38 $42 $46 $52 $57

Shipping rates:

Manitoba

# of Comics

1-3 4-10 11-15 16-20 21-30 31-40 Shipping

rates: Saskatchewan

Comics 1-3 4-10 11-15 16-20 21-30 31-40

FED EX $26 $32 $37 $41 $44 $59 FED EX $26 $32 $37 $42 $50 $60

CANPAR $25 $26 $29 $32 $33 $40 Canpar $35 $36 $40 $44 $49 $54

Pressing (TAT adds 8 weeks) Price Press screen

Press Fast Pass

Pressing (TAT adds 8 weeks)

Price Press Screen Press Fast Pass

Modern (1975 – Present) $16 $6 $8 High Value $66 $12 $25

Vintage (pre 1975) $36 $6 $13 Percentage $100 $30 $66

Modern Vintage

Tier High Value

Tier

% Tier VSP ASP Image Re-holder

$19 $32 $80 2.4% FMV

Min $120 / Max $2,200

$33 1st sig

$20 each additional

$6/book $5 $12