12100000E@(ASD) Mail ： International Coins (HK) Limited, 26/F, House, 71 Central, WhatsApp / WeChat / Signal: (852) 5112 0984 Fax ：(852) 2537 1428 Enquiry ：(852) 2845 8330 Email ：[email protected] Website ：www.coins.com.hk

ORDER FORM (For ASEAN member countries) I wish to order:

Single Payment* Total Product Description Qty (HK$) (HK$)

2021 Hong Kong Year of the Ox Gold Proof Medals Please click to download the order form here.

“The Queen's Diamond Diadem” Gold Maple Leaf Premium Poof Set set(s) TBC $

ICL Member Price ▲ set(s) TBC $

First “Diamond Glitter” Silver Maple Leaf Premium Proof Set set(s) TBC $

ICL Member Price ▲ set(s) TBC $

The World’s First Diamond-shaped Gold Proof Coin pc(s) TBC $

ICL Member Price ▲ pc(s) TBC $ “600 th Ann. of Forbidden City” Commemorative Silver Voucher & Comm. set(s) TBC Voucher Collection $ Tokyo 2020 Olympics & Paralympics Commemorative Coin Set (Set of 22) ▼ set(s) TBC $ “125 th Anniversary of Canada’s Klondike Gold Rush” Gold Maple Leaf Premium set(s) TBC Proof Set Sold Out ICL Member Price ▲ set(s) TBC “25 th Anniversary of Canada’s Arboreal Emblem – The Maple Tree” Silver Maple set(s) TBC Leaf Premium Proof Set Sold Out ICL Member Price ▲ set(s) TBC

“600 th Ann. of Forbidden City” Commemorative Silver Voucher & Comm. set(s) $1,796 Voucher Collection ─Special Combo (including 2 sets of item a) $

“2020 Masterpieces of the Museums” Silver Proof 3-Coin Set set(s) $2,498 Sold Out VIP Price^ set(s) $2,398 ^ You are entitled to VIP Price if you made successful purchase of any of the Monnaie de Paris issues in the past! Remarks: It is a pre-sale product. The estimated delivery date will be in September and is subject to be confirmed by the Mint.

“2020 La Fayette” Octagonal-shaped Silver Proof Coin pc(s) $2,180 $ VIP Price ▲ pc(s) $2,080 $ “2020 La Fayette” Gold & Silver Proof Coin Set set(s) $9,396 $ VIP Price ▲ set(s) $9,096 $ “2020 La Fayette” 1/4oz Gold Proof Coin pc(s) $7,698 $ VIP Price ▲ pc(s) $7,398 $ ▲You are entitled to VIP Price if you have made successful purchase of any of the following items in the past: “2019 France – 30th Ann. of the Fall of the Berlin Wall”/ “2019 France 50th Ann. of Moon Landing” Gold and Silver Proof Coin Series. Remarks: It is a pre-sale product. The estimated delivery date will be in September and is subject to be confirmed by the Mint. “Wealth-inviting Ox” Pearl Selectively 24K Gold-plated Silver Proof Coin pc(s) $1,698 $ “Luck-boosting Oxen” Jade Selectively 24K Gold-plated Silver Proof Coin pc(s) $2,998 $ “Lucky Ox Brings Prosperity” Mother of Pearl 5oz Silver Proof Coin pc(s) $5,698 $ Special Price^ pc(s) $5,598 $

12100000E@(ASD) ^You are entitled to the Special Price if you made successful purchase of any of the “Mother of Pearl 5oz Silver Proof Coins” in the past. If any disputes arise, our company’s record shall prevail.

“First 99999 Gold Hologram Maple Leaf ” Premium Proof Set Sold Out “The 2 nd Series of Renminbi Banknotes” Authenticated Edition TBC “600 th Ann. of Forbidden City” Antique Silver Coin pc(s) $3,830 Sold Out ICL Member Price ▲ pc(s) $3,530

“Roger Federer” Silver Coin in Presentation Card pc(s) $580 Sold Out

“250 th Ann. of Beethoven” 5oz Silver Coin pc(s) $4,580 Sold Out “250 th Ann. of Beethoven” 0.5g Gold Proof Coin w/Blister pc(s) $780 $ “250 th Ann. of Beethoven” 1oz Silver Proof Coin w/Blister pc(s) $898 $

“Wealth-inviting Rat” Jade Selectively 24K Gold-plated Silver Proof Coin pc(s) $2,930 Sold Out

“Luck-boosting Rats” Pearl Selectively 24K Gold-plated Silver Proof Coin pc(s) $1,550 Sold Out

“Big Data” Niobium – Silver Bimetallic Coin pc(s) $1,130 Sold Out “40 th Anniversary of O Canada” Silver Maple Leaf Premium Proof Set set(s) $2,596 Sold Out ICL Member Price ▲ set(s) $2,396 “The 3 rd Series of Renminbi Banknotes with Identical Last 3 Digits” set( $11,600 Authenticated Edition s) $ “The 4 th Series of Renminbi Banknotes with Identical Last 4 Digits” set(s) $4,230 Authenticated Edition $ “70 th Anniversary of the Issuance of Renminbi Commemorative Banknote” set(s) $298 Authenticated Collector’s Edition $ “Blissful Moonlight” Sparkling Pendant pc(s) $1,798 $ “Blissful Trio” Japanese Hand-cut Natural Quartz Pendant Set set(s) $3,396 $ ICL Member Price ▲ set(s) $2,996 $

“Lucky Pig Brings Happiness” Mother of Pearl 5oz Silver Proof Coin pc(s) $5,630 $

“Treasures-gathering Pig” Coloured Silver Proof Coin pc(s) $980 Sold Out

“Wealth-bringing Pig” Jade Selectively 24K Gold-plated Silver Proof Coin pc(s) $2,898 $ “Luck-prospering Pigs” Pearl Selectively 24K Gold-plated Silver Proof pc( $1,530 Coin s) $ “2019 Canadian Silver Maple Leaf – The Bicentennial Celebration” set(s) $2,698 Premium Proof Set $

“The 70 th Birthday of Prince Charles” Gold Proof Coin pc(s) $25,996 Sold Out

“The 70 th Birthday of Prince Charles” Piedfort Silver Proof Coin pc(s) $2,050 $

“The 70 th Birthday of Prince Charles” Silver Proof Coin pc(s) $1,198 $

“The 70 th Birthday of Prince Charles” Brilliant Uncirculated Coin pc(s) $230 $

“HK 1997 $1000 Commemorative Gold Proof Coin” pc(s) $9,828 $

“Australian $100” Coloured Gold Replica Banknote pc(s) $1,798 $

“The Legendary Moon of Baroda Diamond” Pendant pc(s) $2,598 $

“Peace and Prosperity” Golden Figurine pc(s) $1,998 $

“Wealth-beckoning Pig” Golden Figurine pc(s) $1,268 $

“God of Good Luck and Wealth” Golden Figurine pc(s) $1,680 $ “Forever Love” Golden Figurine pc(s) $1,728 $ ▲ ICL Member Price is applicable to ICL member only. The identity Total Amount: $ of ICL member will be verified according to our computer record. *Price inclusive of GST (if any)

12100000E@(ASD) 1. Applicant’s Information: Terms and Conditions (For ASEAN member countries^)

A. All orders once confirmed and accepted by ICL are irrevocable , Name (Mr/Mrs/Ms): ______and payment made is non-refundable.

ID No.:       (Please fill in the first 4 digits) B. As all products are in limited availability, all orders will be accepted on a first-come-first-served basis, while stock lasts . Successful applicants will be notified by WhatsApp / WeChat / Address: ______Signal/ phone/ mail/ email.

______Postal Code:______C. Ordering via WhatsApp / WeChat / Signal/ mail/ email/ fax are accepted. Only credit card payment (VISA/MASTER) is Tel No: ______(Day) ______(Night) accepted.

D. ICL reserves the right to present for payment made , but such Email Address: ______presentation does not imply acceptance and shall not in any (Applicable to first-time purchase new customers) I u nderstand that I will become event prejudice ICL’s right to reject any application at its member of International Coins / International Collections Ltd. upon successful absolute discretion. purchase and enjoy FREE collectible news and the exclusive privileges accompanying the membership. And, I agree that the information provided with t he E. In case of unsuccessful application, the payment will be purchase will solely be used by your Companies for promotion of collectibles. refunded without interest. For credit card payment, a refund will □ Disagree be made to the credit card account.

2. Payment Method: F. For s uccessful applicants who choose delivery service, the subscribed item(s) will be sent within 8-12 weeks after order confirmation. □ BY CREDIT CARD G. The delivery of the item(s) might be delayed due to the Please charge to my  Visa  Mastercard coronavirus. The actual delivery date is subject to be confirmed by The Mint.

H. Our free delivery area covers most of Singapore, Malaysia, Cardholder’s Name: ______Thailand and Indonesia. No delivery will be made to a P.O. Box address. D elivery charge may apply to remote and outlying island area. If applicable, applicant may have to bear custom s Credit Card No.: ______and handling fee. For quotation of delivery, please contact ICL customer service department.

Card Expiry Date: ______I. All product prices shown are in HK dollars. (should be valid for at least 6 months) J. ICL reserves the right to alter the product prices on the website at any time without prior notice.

Cardholder's Signature: ×______K. ICL reserves the right to alter or terminate any offers, terms and conditions at any time, without prior notice. (Should be the same as the signature on the card) L. If there is any discrepancy between the graphics, words and/or pictures shown in this promotion and those shown in the actual 3. Recipient’s Information (If different from the above) product(s), those shown in the actual product(s) shall be the authentic version thereof and the authenticity and genuineness of the product(s) shall in no way be affected.

Name (Mr/Mrs/Ms): ______Remarks: Address: ______If you do not wish to receive promotional communications of collectibles from us, please write to us. Such arrangement is free of charge. ______Postal Code:______^ ASEAN member countries include: Singapore, Malaysia, Thailand, Indonesia, Brunei, Cambodia, Laos, Philippines, and Tel No: ______(Day) ______(Night) Vietnam.

Applicant's Signature:×______

Date: ______(Please read the terms and conditions shown on the right side before signing)