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Phil's Coins & Stamps - Wichita's Best Coin Dealer :: Account Details

Create An Account

The form below allows you to create a profile which is necessary to place orders. Do not forget that this information is essential to use our services correctly. Fields marked with * are mandatory.

The fields marked with * are mandatory.


Account Details
 
Store Registration
You may create an account by entering a username and password below. Creating an account gives you access to additional features such as order tracking, your wishlist and expedited checkout.
Username
Password
Confirm Password
Personal Information
First Name *
Last Name *
Billing Address
Address *
City *
State *
Zip/Postal code *
Country *
Contact Information
Phone *
E-Mail *
Additional information
Credit Card Number (PayPal or Orders Under $1000 can put N/A in Box) *
Credit Card's Toll Free Number (On Back of Card, PayPal or Orders under $1000 can put N/A in Box) *


Clicking "SUBMIT" you agree with our Terms & Conditions.
 


Your password must be different from your username.

Please enter a valid email, we use e-mail for communication purposes (order notifications, etc).


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